Individual provider Active NPI

Maria Hasnerl, RBT

  • Behavior Technician
  • La Porte, IN
National Provider Identifier
1013677947
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-122355 Issued in IN
Practice address
705 Harrison St
La Porte, IN 46350-3417
Phone
(219) 229-0109
Fax
(260) 247-2421
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-122355 IN Primary

Addresses

Primary practice location

705 Harrison St
La Porte, IN 46350-3417

Mailing address

1824 Touby Pike Ste B
Kokomo, IN 46901-2573
Phone (219) 229-0109

Other practice location 1

908 Michigan Ave
LA Porte, IN 46350-3505
Phone (219) 229-0109

Other practice location 2

910 1/2 Michigan Ave
LA Porte, IN 46350-3505
Phone (219) 229-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-20-122355INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Door Academy PastSince Dec 26, 2021 Accepting new patients
Northern Indiana Therapies PastSince Dec 26, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1013677947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 TOUBY PIKE STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469012573",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HARRISON ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503417",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503505",
            "country_code": "US",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 1/2 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503505",
            "country_code": "US",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASNERL",
        "first_name": "MARIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-20-122355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.