Individual provider Active NPI

Courtney Rebecca Agarwal, BCBA

  • Behavior Analyst
  • Westfield, IN
National Provider Identifier
1053598797
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9389 Issued in IN
Practice address
16414 Southpark Dr
Westfield, IN 46074-8396
Phone
(317) 815-5501
Fax
(317) 399-7935
NPI assigned
Jan 24, 2008
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-9389 IN Primary

Addresses

Primary practice location

16414 Southpark Dr
Westfield, IN 46074-8396

Mailing address

16414 Southpark Dr
Westfield, IN 46074-8396
Phone (317) 815-5501

Other names 1

  • Miss Courtney Rebecca Bierman Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bierman Behavioral Health Services, LLC Behavior Analyst Current Accepting new patients
Bierman ABA Inc. Behavior Analyst Past Accepting new patients

Locations

5250 E US Highway 36
Ste 630
Avon, IN 46123
Phone (317) 857-3155

12938 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 245-1455

1022 E 52nd St
Indianapolis, IN 46205
Phone (317) 682-7769

6060 N College Ave
Indianapolis, IN 46220
Phone (317) 254-3300

16414 Southpark Dr
Westfield, IN 46074
Phone (317) 588-0142

23 Crosby Dr
Ste 300
Bedford, MA 01730
Phone (781) 832-3146

145 Rosemary St
Bldg A
Needham Heights, MA 02494
Phone (781) 400-2482

15 Pacella Park Dr
Ste 210
Randolph, MA 02368
Phone (781) 885-1970

550 Springfield Ave
Berkeley Heights, NJ 07922
Phone (908) 464-8373

40 Christopher Way
Ste 103
Eatontown, NJ 07724
Phone (732) 867-0234

746 Alexander Rd
#100
Princeton, NJ 08540
Phone (609) 944-8431

500 N Franklin Tpke
Ste 203
Ramsey, NJ 07446
Phone (248) 238-8126

300 Executive Dr
Ste 70
West Orange, NJ 07052
Phone (206) 638-7192

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1053598797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 SOUTHPARK DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748396",
            "telephone_number": "317-815-5501",
            "fax_number": "317-399-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 SOUTHPARK DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748396",
            "telephone_number": "317-815-5501",
            "fax_number": "317-399-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "COURTNEY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-11-9389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BIERMAN",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.