NPIMap

Organization Active NPI

Advanced Behavioral Consultation LLC

  • Behavior Analyst
  • Albany, IN
National Provider Identifier
1326633520
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCED BEHAVIORAL CONSULTATION LLC
Doing business as
Advanced Behavioral Consultation LLC
Practice address
10151 N Reynard Rd
Albany, IN 47320-9107
Phone
(765) 283-4329
Fax
(800) 546-2329
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Chasity WrightNPI 1285101113
Title
President
Phone
(765) 283-4329

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 Primary

Addresses

Primary practice location

10151 N Reynard Rd
Albany, IN 47320-9107

Mailing address

10151 N Reynard Rd
Albany, IN 47320-9107
Phone (765) 283-4329

Other identifiers 2

IdentifierTypeStateIssuer
1003420035MedicaidIN
1285101113MedicaidIN

Other names 1

  • Advanced Behavioral Consultation LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1326633520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 N REYNARD RD",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473209107",
            "telephone_number": "765-283-4329",
            "fax_number": "800-546-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 N REYNARD RD",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473209107",
            "telephone_number": "765-283-4329",
            "fax_number": "800-546-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-283-4329"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003420035",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285101113",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Behavioral Consultation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.