Active NPI
Tori Collignon, RBT
- Behavior Technician
- Evansville, IN
National Provider Identifier
1033764790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-57478
- Practice address
- 900 Tutor LN Ste 107
Evansville, IN 47715-7295 - Phone
- (812) 602-1038
- Fax
- (812) 602-1048
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-57478 | IN | Primary |
Addresses
Primary practice location
900 Tutor LN Ste 107
Evansville, IN 47715-7295
Mailing address
900 Tutor LN Ste 107
Evansville, IN 47715-7295
Phone (812) 602-1038
Other practice location 1
4655 Rosebud Ln
Newburgh, IN 47630-9366
Phone (812) 213-8031
Other practice location 2
1501 W Tapp Rd
Bloomington, IN 47403-3459
Phone (812) 330-4460
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-57478 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach High Consulting and Therapy, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Bloomington, IN
- NPI 1053629246
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1033764790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TUTOR LN STE 107",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157295",
"telephone_number": "812-602-1038",
"fax_number": "812-602-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TUTOR LN STE 107",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157295",
"telephone_number": "812-602-1038",
"fax_number": "812-602-1048"
}
],
"practiceLocations": [
{
"address_1": "4655 Rosebud Ln",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476309366",
"country_code": "US",
"telephone_number": "812-213-8031",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 W Tapp Rd",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474033459",
"country_code": "US",
"telephone_number": "812-330-4460",
"fax_number": "812-330-4461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLIGNON",
"first_name": "TORI",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-08",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-18-57478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.