NPIMap

Organization Active NPI

Crystal's Behavior Solutions

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1235441445
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1095067 Issued in IN
Legal business name
CRYSTAL'S BEHAVIOR SOLUTIONS
Practice address
4211 Tarragon Dr
Indianapolis, IN 46237-3665
Phone
(317) 450-0838
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Mrs. Crystal Beiswenger, BCBANPI 1851542476
Title
Owner
Phone
(317) 450-0838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1095067 IN Primary

Addresses

Primary practice location

4211 Tarragon Dr
Indianapolis, IN 46237-3665

Mailing address

4211 Tarragon Dr
Indianapolis, IN 46237-3665
Phone (317) 450-0838

National Provider Directory

National Provider Directory

Locations

2630 S Arlington Ave
Indianapolis, IN 46203
Phone (317) 522-1956

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1235441445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 TARRAGON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373665",
            "telephone_number": "317-450-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 TARRAGON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373665",
            "telephone_number": "317-450-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL'S BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BEISWENGER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-450-0838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1095067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.