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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-59851 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Community Support Services Inc | Behavior Analyst | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30008034 | Medicaid | IN |
NPI Registry JSON
{
"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
- Agilitas USA, Inc
- Daniel P Akin
- Morgan Akins
- Karolina Alanis
- Andrew Aldridge
- Samantha Jean Alexander
- Carley Leann Allen-Rose
- Brett Allen
- Melissa Jarles Allen
- Biruk Almaz
All providers in New Albany, IN · Behavior Analyst in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.