Breanne Hartley, BCBA, PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3493 Issued in IN

Practice address

9830 Bauer Dr
Indianapolis, IN 46280-1972

Phone

(317) 848-4774

Fax

(317) 848-2862

NPI assigned

May 19, 2010

Last updated

Mar 24, 2022By 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

Credentials

Doctor of Philosophy

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.

• Verbal Behavior Center for Autism

  • Specialist
  • Indianapolis, IN
  • NPI 1407976269
  NPD (past)

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1275852048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 BAUER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801972",
            "telephone_number": "317-848-4774",
            "fax_number": "317-848-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 BAUER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801972",
            "telephone_number": "317-848-4774",
            "fax_number": "317-848-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "BREANNE",
        "credential": "BCBA, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-07-3493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hartigan
• James Hartill, OD
• Bethany Ruth Harting, DO
• Kathleen A Harting, LMHC
• Jordan Magee Hartkorn, BMBS
• Jeffrey Allan Hartley
• Lauren Elizabeth Hartley, AU.D.
• Hartman Dentistry LLC
• Andrea Hartman, RN
• Chris J Hartman, MD

• 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 Mar 24, 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.