Courtney Deanne Haltom, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62692 Issued in IN

Practice address

7901 E 88TH St
Indianapolis, IN 46256-1235

Phone

(317) 849-5437

NPI assigned

Apr 17, 2018

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Programming Inc.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1770706160
  NPD

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1194212043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561235",
            "telephone_number": "317-849-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 E 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561235",
            "telephone_number": "317-849-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9905 Fall Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462564804",
            "country_code": "US",
            "telephone_number": "317-813-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "COURTNEY",
        "middle_name": "DEANNE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-17-42586",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-62692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Halsema
• Kelly Halt, DO
• Philip Halter
• Jessica Halterman
• Oliver Bidwell Halthon
• John Patrick Haltom, CRNA
• Megan Haltom
• Caroline Haluska, MS, CCC-SLP
• Kaitlin Halvorsen
• Isaac Henry Halvorson

• 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 Nov 29, 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.

Verify at the official NPI Registry.