Individual provider · Type 1 NPI

Jeffrey Tyler Bolin, MS, BCBA, LBA

Behavior Analyst · Louisville, KY

NPI number 1700279601 Active

Practice location

7902 Beulah Church Rd Unit 103
Louisville, KY 40228-2709

Call (023) 788-3115 Map

Mailing address

1074 Meade Springs Rd
Brandenburg, KY 40108-8376

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X163604 (KY)

Behavior Analyst: 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…

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About NPI 1700279601

Jeffrey Tyler Bolin, MS, BCBA, LBA's National Provider Identifier is 1700279601, issued on Mar 17, 2015. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Louisville, KY. The record was last updated on Jul 2, 2025.