NPIMap

Organization Active NPI

Indiana Behavior Analysis Academy

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1003231903
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INDIANA BEHAVIOR ANALYSIS ACADEMY
Practice address
2417 Baur Dr
Indianapolis, IN 46220-2828
Phone
(317) 414-2147
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Steward, BCBANPI 1821396409
Title
Owner
Phone
(317) 414-2147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2417 Baur Dr
Indianapolis, IN 46220-2828

Mailing address

2417 Baur Dr
Indianapolis, IN 46220-2828
Phone (317) 414-2147

National Provider Directory

National Provider Directory

Locations

125 W Taylor St
Kokomo, IN 46901
Phone (765) 419-0411

1315 E Hoffer St
Kokomo, IN 46902
Phone (765) 419-0411

114 W Jackson St
Kokomo, IN 46901
Phone (765) 419-0411

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1003231903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 BAUR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202828",
            "telephone_number": "317-414-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 BAUR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202828",
            "telephone_number": "317-414-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA BEHAVIOR ANALYSIS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-414-2147",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.