Active NPI
Emily Preske, BCBA
- Behavior Analyst
- Fishers, IN
National Provider Identifier
1073064747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22777
- Practice address
- 11902 Lakeside Dr
Fishers, IN 46038-1308 - Phone
- (317) 288-5232
- Fax
- (317) 991-1593
- NPI assigned
- Oct 18, 2016
- Last updated
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22777 | IN | Primary |
Addresses
Primary practice location
11902 Lakeside Dr
Fishers, IN 46038-1308
Mailing address
9929 E 126TH St
Fishers, IN 46038-9404
Phone (317) 436-8961
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Analysis Center for Autism | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Fishers, IN
- NPI 1942589619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1073064747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9929 E 126TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460389404",
"telephone_number": "317-436-8961",
"fax_number": "317-991-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 LAKESIDE DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381308",
"telephone_number": "317-288-5232",
"fax_number": "317-991-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESKE",
"first_name": "EMILY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-16-22777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.