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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SKYBOUND PROVIDER GROUP, P.A.
NPI 1871492645
Behavior Analyst in Louisville, KY

Active since November 05, 2026
312 S 4TH ST, LOUISVILLE, KY 40202(804) 322-3658 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Skybound Provider Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKYBOUND PROVIDER GROUP, P.A. (NPI 1871492645) is a healthcare organization registered as a behavior analyst in Louisville, Kentucky and active in the NPI registry since November 2026. The organization lists Yavar Moghimi, President, as its authorized official.

NPPES Registry Identity

NPI1871492645
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSKYBOUND PROVIDER GROUP, P.A.
Location Address312 S 4TH STLouisville, KY 40202-3002
Mailing Address927 E Main St Ste 66505Louisville, KY 40206-1963
Phone(804) 322-3658
Organization SubpartNo
Authorized OfficialYavar MoghimiPresident · (571) 228-5031
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1871492645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
312 S 4TH ST, Louisville, KY 40202
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SAMANTHA ROSS
Psychologist
312 S 4TH ST
LOUISVILLE, KY 40202
Jefferson County (323) 205-7088
CHELSEA REITZEL
Behavior Technician
312 S 4TH ST
LOUISVILLE, KY 40202
Jefferson County (571) 464-4299
LIONROCK BEHAVIORAL HEALTH, INC
Community/Behavioral Health
312 S 4TH ST, SUITE 700
LOUISVILLE, KY 40202
Jefferson County (760) 994-4990
IMPROVED DYNAMICS ABA OF KY
Behavior Analyst
312 S 4TH ST
LOUISVILLE, KY 40202
Jefferson County (571) 464-4299
FRANK HARRELL MD PA
Clinic/Center (Health Service)
312 S 4TH ST, SUITE 700
LOUISVILLE, KY 40202
Jefferson County (502) 203-4170
MR. ARON ALBERT NEAL
Marriage & Family Therapist
312 S 4TH ST
LOUISVILLE, KY 40202
Jefferson County (323) 205-7088
COTTAGE HOME CARE KY LLC
In Home Supportive Care
312 S 4TH ST
LOUISVILLE, KY 40202
Jefferson County (502) 580-5444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skybound Provider Group, P.A.'s NPI number?

The NPI number for Skybound Provider Group, P.A. is 1871492645. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Skybound Provider Group, P.A. located?

Skybound Provider Group, P.A. is located at 312 S 4th St, Louisville, KY 40202. The listed phone number is (804) 322-3658.

What is Skybound Provider Group, P.A.'s specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Skybound Provider Group, P.A. was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.