Individual provider Active NPI

Tara Copp

  • Behavior Technician
  • Muncie, IN
National Provider Identifier
1053104471
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2620 Accutech Way
Muncie, IN 47304-9462
Phone
(765) 282-8222
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 Primary

Addresses

Primary practice location

2620 Accutech Way
Muncie, IN 47304-9462

Mailing address

1216 S 23Rd St
New Castle, IN 47362-2421
Phone (317) 697-6452

Other practice location 1

3701 W Bethel Ave
Muncie, IN 47304-5467
Phone (765) 282-8222

Other practice location 2

3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (765) 282-8222

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1053104471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 S 23RD ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622421",
            "telephone_number": "317-697-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 ACCUTECH WAY",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049462",
            "telephone_number": "765-282-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045467",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045408",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPP",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "2620 Accutech Way",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473049462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.