Active NPI
Rebekah Lynn Leake, MA, BCBA
- Behavior Analyst
- Terre Haute, IN
National Provider Identifier
1093397077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49427
- Practice address
- 399 Hospital LN
Terre Haute, IN 47802-4394 - Phone
- (812) 645-2308
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49427 | FL | |
| Behavior Analyst | 103K00000X | 1-21-49427 | IN | Primary |
Addresses
Primary practice location
399 Hospital LN
Terre Haute, IN 47802-4394
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Other practice location 1
1036 Weaver Dr
Oviedo, FL 32765-7029
Phone (219) 221-2293
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1093397077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 HOSPITAL LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024394",
"telephone_number": "812-645-2308"
}
],
"practiceLocations": [
{
"address_1": "1036 Weaver Dr",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "327657029",
"country_code": "US",
"telephone_number": "219-221-2293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAKE",
"first_name": "REBEKAH",
"middle_name": "LYNN",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-49427",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-21-49427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.