Active NPI
Krystle Ann Adler, BCBA
- Behavior Analyst
- Evansville, IN
National Provider Identifier
1083123871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26936
- Practice address
- 1900 Stringtown Rd
Evansville, IN 47711-4522 - Phone
- (812) 490-2826
- Fax
- (812) 490-5631
- NPI assigned
- Sep 25, 2017
- Last updated
- Jul 21, 2022
- 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 | 1-17-26936 | IN | Primary |
Addresses
Primary practice location
1900 Stringtown Rd
Evansville, IN 47711-4522
Mailing address
1900 Stringtown Rd
Evansville, IN 47711-4522
Phone (812) 490-2826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-17-26936 | Other | IN | BCBA LICENSE NUMBER |
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 Networks | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083123871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 STRINGTOWN RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114522",
"telephone_number": "812-490-2826",
"fax_number": "812-490-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 STRINGTOWN RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114522",
"telephone_number": "812-490-2826",
"fax_number": "812-490-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "KRYSTLE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-17-26936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA LICENSE NUMBER",
"identifier": "1-17-26936",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.