Pair Tree Autism Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PAIR TREE AUTISM SERVICES LLC

Practice address

3449 W State Road 16
Royal Center, IN 46978

Phone

(574) 240-8188

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalan BakerNPI 1871760660

Title

Owner/Bcba

Phone

(574) 240-8188

Specialties & licenses 1

Addresses

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shalan Kathleen Baker, BCBA

  • Behavior Analyst
  • Royal Center, IN
  • NPI 1871760660
  NPD Authorized official
• Eliza Colon

  • Behavior Technician
  • Royal Center, IN
  • NPI 1952110173
  NPD
• Mileydis Farias

  • Behavior Technician
  • Logansport, IN
  • NPI 1346052081
  NPD (past)
• Natalie Romero

  • Behavior Technician
  • Logansport, IN
  • NPI 1407668080
  NPD (past)
• Meagan Sarver

  • Behavior Analyst
  • Logansport, IN
  • NPI 1760104376
  NPD (past)
• Jordan Smith

  • Behavior Technician
  • Logansport, IN
  • NPI 1770489155
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1104507383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 W STATE ROAD 16",
            "city": "ROYAL CENTER",
            "state": "IN",
            "postal_code": "46978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 W STATE ROAD 16",
            "city": "ROYAL CENTER",
            "state": "IN",
            "postal_code": "46978",
            "telephone_number": "574-240-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIR TREE AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHALAN",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "574-240-8188"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalan Kathleen Baker, BCBA
• Eliza Colon
• Kimberly Gates
• Maria D Grace
• Pioneer Regional School Corporation
• Royal Center United Methodist Church (Royal Center United Methodist Church Counseling Center)
• Brianna Schmaltz

• Behavior Analyst in Royal Center, IN
• Providers in Royal Center, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.