Individual provider Active NPI

Amanda Barnes

  • Assistant Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1063210029
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-11874 Issued in IN
Practice address
8650 Commerce Park PL Ste A1
Indianapolis, IN 46268-3174
Phone
(317) 388-8131
Fax
(317) 401-8361
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-11874 IN Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

8650 Commerce Park PL Ste A1
Indianapolis, IN 46268-3174

Mailing address

8650 Commerce Park PL Ste A1
Indianapolis, IN 46268-3174
Phone (317) 388-8131

Other practice location 1

8650 Commerce Park Pl Ste A1
Indianapolis, IN 46268-3174
Phone (317) 388-8131

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1063210029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 COMMERCE PARK PL STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683174",
            "telephone_number": "317-388-8131",
            "fax_number": "317-401-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 COMMERCE PARK PL STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683174",
            "telephone_number": "317-388-8131",
            "fax_number": "317-401-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8650 Commerce Park Pl Ste A1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462683174",
            "country_code": "US",
            "telephone_number": "317-388-8131",
            "fax_number": "317-401-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": "0-21-11874",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 5, 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.