MEDICARE: JANE KATHERINE DETOMA MA, BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	103K00000X	Behavior Analyst	240229	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-17-28561	OTHER		BCBA CERTIFICATE

General Provider Information

NPI Number	:	1558728816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE KATHERINE DETOMA MA, BCBA, LBA

Provider Business Mailing Address
First Line	:	2357 HUGUENARD DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2357 HUGUENARD DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3015
Country	:	US
Telephone Number	:	859-436-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2016
Last Update Date	:	01/30/2026

Similar Medicare Providers

1942920491 — ALLISON WAGNER BCBA
Practice Location Address:

2357 HUGUENARD DR
LEXINGTON, KY
40503-3015

Practice Phone: 859-436-8585
Practice Fax:

1942973979 — ALLISON LOCKARD BCBA, TLBA
Practice Location Address:

2357 HUGUENARD DR
LEXINGTON, KY
40503-3015

Practice Phone: 859-408-3753
Practice Fax:

1871740621 — GRETCHEN JACOB OTR/L
Practice Location Address:

2069 WILLIAMSBURG RD
LEXINGTON, KY
40504-3015

Practice Phone: 859-277-0506
Practice Fax:

1770065815 — HERBERT ROSWELL COLCORD
Practice Location Address:

3015 LEXINGTON RD
ATHENS, GA
30605-2491

Practice Phone: 706-613-3270
Practice Fax:

1235780065 — JULIET OWUSU PMHNP-BC
Practice Location Address:

3015 LEXINGTON RD
ATHENS, GA
30605-2491

Practice Phone: 347-734-3132
Practice Fax:

1982555728 — MORGAN TAYLOR KNOTT LPCC
Practice Location Address:

448 LEWIS HARGETT CIR STE 260
LEXINGTON, KY
40503-3506

Practice Phone: 859-338-0466
Practice Fax:

Directions to “ JANE KATHERINE DETOMA MA, BCBA, LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.