Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Michael Evans, MA, BCBA

Individual provider Behavior Analyst · NPI 1306594916

Jack Michael Evans, MA, BCBA is a Behavior Analyst in Louisa, Kentucky. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1181 Highway 119 N, Whitesburg, KY 41858-9473 — (859) 983-1548

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 276596 (KY)
Behavior Analyst Taxonomy 103K00000X · Licence 1-20-41236

Record details

NPI number1306594916
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , BCBA
Sole proprietorYes
NPI enumeratedMarch 13, 2022
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address321 E Tiverton Way, Lexington, KY 40517-1529

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