Christian Wayne Porter, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-401227 Issued in IN

Practice address

322 Dupont Dr Ste C
Seymour, IN 47274-1764

Phone

(317) 334-7331

NPI assigned

Dec 31, 2019

Sex

Male

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.

• Neurobehavioral Center for Growth LLC

  • Psychologist
  • Bountiful, UT
  • NPI 1942641931
  NPD
• Unlocking the Spectrum

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1679895718
  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1194364778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE D101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108905",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 DUPONT DR STE C",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741764",
            "telephone_number": "317-334-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3464 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024168",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 S Park Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474018589",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8646 Guion Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462683011",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Medical Dr Ste D101",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108905",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHRISTIAN",
        "middle_name": "WAYNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-19-401227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033976",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Rene' Pogue, MA LPC
• Polarity Counseling, Inc
• Emilee Pollmann, PT
• Madisen Nicole Polly
• Lindsey Poole, LCSW
• George Potter, ATC
• Kaitlin Powell, LMHC, NCC
• Professional Footwear LLC (dba The Fitted Foot)
• David Lynn Proffer, CRNA
• Progressive Physical Therapy PC

• Behavior Analyst in Seymour, IN
• Providers in Seymour, 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 7, 2020; 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.