Behavior Specialists of Indiana, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20041239 Issued in IN

Legal business name

BEHAVIOR SPECIALISTS OF INDIANA, LLC

Practice address

2611A Chicago St
Valparaiso, IN 46383-6111

Phone

(219) 462-6705

Fax

(219) 464-4318

NPI assigned

May 5, 2008

Last updated

May 5, 2008By 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

Robert R. Schneider

Title

Executive Director

Phone

(219) 462-6705

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 3

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.

• Debra Farrar-Schneider, PH.D., H.S.P.P.

  • Intellectual & Developmental Disabilities Psychologist
  • Valparaiso, IN
  • NPI 1558317966
  NPD (past)
• Katie Moldenhauer, BCBA

  • Behavior Analyst
  • Valparaiso, IN
  • NPI 1104484542
  NPD (past)
• Brittany Maria Polisuk-Brush

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1942846191
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1194991778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611A CHICAGO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836111",
            "telephone_number": "219-462-6705",
            "fax_number": "219-464-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611A CHICAGO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836111",
            "telephone_number": "219-462-6705",
            "fax_number": "219-464-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SPECIALISTS OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-462-6705"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "20041239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200536380",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200717130A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200650880",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447720A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200173830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Scott Beauvais, DC
• Candace Beck, M.A. CCC-SLP
• Talibrianna Becktemba
• Bee-Lieve Counseling LLC
• Bee-Lieve Counseling LLC
• Frank Ludwig Behrend, M.D.
• Robert James Behrend, D.D.S.
• Dawn Bell, MSW
• Jennifer Bell
• Katherine Laura Bell, D.O.

• Community/Behavioral Health Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.