Callie Anne Gartenman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17736 Issued in IN

Practice address

4 S Park Ave Ste 270-G
Batesville, IN 47006-1247

Phone

(812) 663-2273

Fax

(812) 663-2275

NPI assigned

Jan 6, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Guided Practice

  • Behavior Analyst
  • North Bend, OH
  • NPI 1407784572
  NPD Authorized official
• Providers for Autism Treatment and Habilitation

  • Behavior Analyst
  • Greensburg, IN
  • NPI 1306448691
  NPD
• Disability and Autism Services of Indiana LLC

  • Behavior Analyst
  • Saint Paul, IN
  • NPI 1710202171
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1134517642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 TOUBY PIKE STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469012573",
            "telephone_number": "765-628-7400",
            "fax_number": "765-450-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S PARK AVE STE 270-G",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061247",
            "telephone_number": "812-663-2273",
            "fax_number": "812-663-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OH",
            "postal_code": "450529731",
            "country_code": "US",
            "telephone_number": "812-890-3358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARTENMAN",
        "first_name": "CALLIE",
        "middle_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-14-17736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Fullenkamp, FNP
• Manuel G Garcia, M.D.
• Noel G Garcia, D.D.S.
• Mark William Gardner, D.D.S.
• Robert James Garrett, CAPRC 1
• Jon F Geers, MD
• Genoa Healthcare LLC
• Craig W George, DC
• George'S Family Pharmacy, Inc.
• Georges Family Pharmacy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.