Ataraxy Behavioral Support Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ATARAXY BEHAVIORAL SUPPORT SERVICES LLC

Practice address

10481 Tower Rd
Quincy, IN 47456-8560

Phone

(317) 606-0154

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Jessica DaubenspeckNPI 1073287470

Title

Employee

Phone

(317) 606-0154

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ellen Daubenspeck

  • Behavior Technician
  • Fishers, IN
  • NPI 1073287470
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1093533028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10481 TOWER RD",
            "city": "QUINCY",
            "state": "IN",
            "postal_code": "474568560",
            "telephone_number": "317-606-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10481 TOWER RD",
            "city": "QUINCY",
            "state": "IN",
            "postal_code": "474568560",
            "telephone_number": "317-606-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATARAXY BEHAVIORAL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "DAUBENSPECK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "317-606-0154"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.