Active NPI
Donald Reitz
- Behavior Technician
- Bloomington, IN
National Provider Identifier
1194520833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3106 N Canterbury CT
Bloomington, IN 47404-1500 - Phone
- (317) 334-7331
- Fax
- (317) 334-7336
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3106 N Canterbury CT
Bloomington, IN 47404-1500
Mailing address
8646 Guion Rd
Indianapolis, IN 46268-3011
Phone (317) 334-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlocking the Spectrum | Current | Accepting new patients |
Locations
3106 N Canterbury Ct
Bloomington, IN 47404
Phone (812) 329-0725
8646 Guion Rd
Indianapolis, IN 46268
Phone (317) 344-7331
Organizations & group practices 1
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.
-
- Behavior Analyst
- Indianapolis, IN
- NPI 1679895718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1194520833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8646 GUION RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683011",
"telephone_number": "317-334-7331",
"fax_number": "317-334-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 N CANTERBURY CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474041500",
"telephone_number": "317-334-7331",
"fax_number": "317-334-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZ",
"first_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.