Krysti Perry, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71262 Issued in IN

Practice address

3125 Willowcreek Rd
Portage, IN 46368-4423

Phone

(574) 387-4313

NPI assigned

May 27, 2022

Last updated

May 1, 2024By 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

State licenses

Practice roles

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.

• Northern Indiana Therapies

  • Multi-Specialty Clinic/Center
  • La Porte, IN
  • NPI 1316356504
  NPD (past)
• Purple Door Academy

  • Behavior Analyst
  • La Porte, IN
  • NPI 1144786716
  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1215675343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684423",
            "telephone_number": "574-387-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684423",
            "telephone_number": "574-387-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Harrison St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503417",
            "country_code": "US",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503505",
            "country_code": "US",
            "telephone_number": "219-229-0109",
            "fax_number": "260-247-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KRYSTI",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-24-71262",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-20-124991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Parobek, RBT
• Steven Parrott
• Kajal B Patel, APRN
• Sheel A Patel, M.D.
• Marc J Pelletier, LPT
• Makenzie Peterson
• Pharma-Card, Inc
• Erin Phillips, PTA
• Kaitlyn Pickering, RBT
• Heather Marie Piehl, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.