Active NPI
Kenton Little
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1043978315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68918
- Practice address
- 9905 Fall Creek Rd
Indianapolis, IN 46256-4804 - Phone
- (317) 813-4690
- NPI assigned
- Dec 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-131355 | IN | |
| Behavior Analyst | 103K00000X | 1-23-68918 | IN | Primary |
Addresses
Primary practice location
9905 Fall Creek Rd
Indianapolis, IN 46256-4804
Mailing address
9905 Fall Creek Rd
Indianapolis, IN 46256-4804
Phone (317) 813-4690
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-20-131355 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1043978315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 FALL CREEK RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564804",
"telephone_number": "317-813-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9905 FALL CREEK RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564804",
"telephone_number": "317-813-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "KENTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-03",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-20-131355",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-23-68918",
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.