Emalee Ann Aldridge, BCBA

Individual provider Active NPI Behavior Analyst · New Albany, IN

NPI 1336760107 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1336760107
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
3216 Ballard Lane
New Albany, IN 47150
Phone
(812) 590-2157
NPI assigned
May 2, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-18-59851INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Community Support Services Inc Behavior Analyst Current
since Oct 8, 2023
Accepting new patients
Little Star Center, Inc. Behavior Analyst Past Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-59851 IN
Behavior Analyst 103K00000X IN Yes

Addresses

Primary practice location

3216 Ballard Lane
New Albany, IN 47150

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
30008034MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2023.

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1336760107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 BALLARD LANE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-590-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 BALLARD LANE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-590-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "EMALEE",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2023-10-03",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-18-59851",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008034",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

All providers in New Albany, IN · Behavior Analyst in Indiana

Sources for this page

Verify at the official NPI Registry.