Organization Active NPI

Abel Behavior Company, LLC

  • Behavior Analyst
  • Granger, IN
National Provider Identifier
1033664362
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13445 Issued in IN
Legal business name
ABEL BEHAVIOR COMPANY, LLC
Practice address
51513 Bittersweet Rd
Suite B
Granger, IN 46530-4989
Phone
(574) 261-4025
Fax
(574) 383-5545
NPI assigned
Aug 16, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Tracy Abel, M.A., BCBANPI 1255773255
Title
Bcba
Phone
(574) 261-4025

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

51513 Bittersweet Rd
Ste B
Granger, IN 46530
Phone (574) 261-4025

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-13-13445 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

51513 Bittersweet Rd
Suite B
Granger, IN 46530-4989

Mailing address

12042 Covered Wagon CT
Granger, IN 46530-7100
Phone (574) 261-4025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2017.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1033664362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 COVERED WAGON CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307100",
            "telephone_number": "574-261-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51513 BITTERSWEET RD",
            "address_2": "SUITE B",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304989",
            "telephone_number": "574-261-4025",
            "fax_number": "574-383-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEL BEHAVIOR COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "574-261-4025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-13-13445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.