Individual provider Active NPI

Morgan Beth Hollabaugh

  • Behavior Analyst
  • New Albany, IN
National Provider Identifier
1295241347
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44892
Practice address
3216 Ballard LN
New Albany, IN 47150-7200
Phone
(812) 590-2157
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X
Behavior Analyst 103K00000X 1-20-44892 Primary

Addresses

Primary practice location

3216 Ballard LN
New Albany, IN 47150-7200

Mailing address

2819 Wahoo Dr
New Albany, IN 47150-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Community Support Services Inc CurrentSince Jun 9, 2024 Accepting new patients
Adaptive Community Support Services Inc Behavior Analyst CurrentSince Jun 9, 2024 Accepting new patients
Marin Autism Interventions LLC Behavior Analyst PastSince Mar 16, 2021 Accepting new patients

Locations

5201 E Virginia St
Evansville, IN 47715
Phone (812) 436-1448

11845 Allisonville Rd
Fishers, IN 46038
Phone (317) 415-6110

4118 N Clinton St
Fort Wayne, IN 46805
Phone (260) 373-1050

6640 Parkdale Pl
Ste R
Indianapolis, IN 46254
Phone (317) 272-0975

5155 S Meridian St
Indianapolis, IN 46217
Phone (317) 567-9213

2916 Peach Blossom Dr
Ste 104
Jeffersonville, IN 47130
Phone (812) 202-6144

3001 N Granville Ave
Muncie, IN 47303
Phone (765) 213-7488

3216 Ballard Ln
New Albany, IN 47150
Phone (812) 590-2157

2183 Stanley Rd
Plainfield, IN 46168

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1295241347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 WAHOO DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 BALLARD LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471507200",
            "telephone_number": "812-590-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLABAUGH",
        "first_name": "MORGAN",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-06-07",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-44892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.