Individual provider Active NPI

Abby Kiffmeyer, M.A. BCBA

  • Behavior Analyst
  • Fishers, IN
National Provider Identifier
1083107163
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-41507 Issued in IN
Practice address
11807 Allisonville Rd # 522
Fishers, IN 46038-2313
Phone
(317) 572-5315
NPI assigned
Jun 13, 2018
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-41507 IN Primary
Behavior Technician 106S00000X RBT-16-18923 IN

Addresses

Primary practice location

11807 Allisonville Rd # 522
Fishers, IN 46038-2313

Mailing address

9615 Shasta Dr
Fishers, IN 46038-8324
Phone (317) 679-4374

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-16-18923INMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1083107163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 SHASTA DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388324",
            "telephone_number": "317-679-4374",
            "fax_number": "317-815-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 ALLISONVILLE RD # 522",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382313",
            "telephone_number": "317-572-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFFMEYER",
        "first_name": "ABBY",
        "credential": "M.A. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-20-41507",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-16-18923",
            "primary": false
        }
    ],
    "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 Jun 2, 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.