CMS-1500 Box 24J / 33a • NPI
1497992200
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
1 MOOCK RD, WILDER, KY, 41071-5465
✓ 9-Digit EDI 837 ZIP+4 (41071-5465)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1497992200 (JULIETTE LORAINE RIORDAN, BCBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1497992200 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JULIETTE LORAINE RIORDAN, BCBA |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1 MOOCK RD, WILDER, KY, 41071-5465 |
| Practice Telephone / Fax | Tel: (859) 757-7217 |
| Administrative Mailing Address | 2296 DANA AVE, CINCINNATI, OH, 45208-1025 |
| Enumeration & Last Sync | Enumerated: 2009-01-15 | CMS Record Updated: 2025-02-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JULIETTE LORAINE RIORDAN, BCBA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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