Guidance Pediatrics and Autism Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GUIDANCE PEDIATRICS AND AUTISM SERVICES LLC

Practice address

6657 W County Road 900 N
Brazil, IN 47834-7952

Phone

(812) 239-6293

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa PetrowskiNPI 1205246055

Title

Owner

Phone

(812) 239-6293

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Alyssa Christine Petrowski, MA, BCBA

  • Behavior Analyst
  • Terre Haute, IN
  • NPI 1205246055
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1316700677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE CROSSING",
            "address_2": "SUITE 115 #1201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46240",
            "telephone_number": "812-239-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6657 W COUNTY ROAD 900 N",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478347952",
            "telephone_number": "812-239-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE PEDIATRICS AND AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "PETROWSKI",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-239-6293"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gilbert, PHARM.D.
• Sierra Kay Girton, RD
• Miranda Anne Goodale, DPM
• Erin Jenelle Graves, MASTERS DEGREE
• David Guenther
• Marcelyn Jay Hagan, RPH
• Adrienne Ann Hagedorn, D.C
• M'Lissa S Haldt, R. P. T.
• Janice Renee Hammond, N.P.
• Skyann Lacy Hardey, M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.