Castaway ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CASTAWAY ABA LLC

Practice address

3104 E Midland Rd
Indianapolis, IN 46227-4583

Phone

(317) 518-5126

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Sue Chudzinski, BCBA

Title

Owner

Phone

(317) 518-5126

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1225772452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E MIDLAND RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274583",
            "telephone_number": "317-518-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E MIDLAND RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274583",
            "telephone_number": "317-518-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTAWAY ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "CHUDZINSKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-518-5126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010638",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032519",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Cassell, DO
• Kimberly Cassetty, PT
• Holly Elizabeth Cassinelli, PA-C
• Lauren Castaneda, MD
• McKayla Castano
• Shannon Lynn Castek, PHARMD
• Heidy Marissa Castellanos Giron, DDS
• Mercedes B Castellanos-Pitcock, PA-C
• Michael Anthony Castellanos
• Sariah G Castellon

• 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 Apr 25, 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.