Raven Hartsel

Individual provider Active NPI Behavior Analyst · Bargersville, IN

NPI 1053879528 · NPPES record last updated Jun 20, 2024

Key facts

NPI
1053879528
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-51799 (IN)
Practice address
886 Quarterhorse Run
Bargersville, IN 46106-8727
Phone
(317) 445-2903
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC Behavior Analyst Past
since Feb 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-21-51799 IN Yes

Addresses

Primary practice location

886 Quarterhorse Run
Bargersville, IN 46106-8727

Mailing address

886 Quarterhorse Run
Bargersville, IN 46106-8727

Other providers in Bargersville, IN

All providers in Bargersville, IN · Behavior Analyst in Indiana

Sources for this page

Verify at the official NPI Registry.