ALEXIS JORDAN GOETTKE BCBA NPI 1053191643

NPI Information

  • NPI: 1053191643
  • Provider Name: ALEXIS JORDAN GOETTKE, BCBA
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Individual
  • Address: 5522 TAYLOR MILL RD
    TAYLOR MILL, KY
    ZIP 41015
  • Phone: (859) 317-5985

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NPI Details

Alexis Jordan Goettke, BCBA is a behavior analyst in Taylor Mill, KY. The provider is 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. Alexis Jordan Goettke, BCBA NPI is 1053191643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5522 TAYLOR MILL RD
TAYLOR MILL, KY
ZIP 41015-604
Phone: (859) 317-5985

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst1-23-68563KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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