Elizabeth Ellen Pennington, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

7405 Westfield Blvd
Indianapolis, IN 46240-3056

Phone

(317) 918-2689

NPI assigned

Oct 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Circle City ABA

  • Behavior Analyst
  • Lafayette, IN
  • NPI 1235676990
  NPD (past)
• Stepping Stones Autism Academy LLC.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1881351682
  NPD (past)
• Stepping Stones Behavioral Solutions Downtown LLC.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1902401920
  NPD (past)
• Stepping Stones Behavioral Solutions LLC

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1033663430
  NPD (past)

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1093358624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 WESTFIELD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 WESTFIELD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403056",
            "telephone_number": "317-918-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Leah Penn, APRN
• Luciana Penn
• Stephen Hugh Pennal, M.D.
• Christopher Pennington
• David E Pennington II, MD
• Kaitlin Leeanne Pennington, SLP
• Olivia Nicole Pennington
• Robert Edward Pennington Jr., MD
• Penny W. Kallmyer, M.D., P.C.
• Terika Pennyman

• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.