Individual provider Active NPI

Kolleen Maura Altenbach, MA, BCBA, COBA, LBA

  • Behavior Analyst
  • Apex, NC
National Provider Identifier
1346819828
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1324 Issued in NC
Practice address
2311 Energy Dr BLDG 9
Apex, NC 27502-4343
Phone
(984) 254-5635
Fax
(317) 520-8200
NPI assigned
Jun 21, 2021
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 296201 KY
Behavior Analyst 103K00000X 1324 NC Primary
Behavior Analyst 103K00000X COBA.00714 OH
Behavior Analyst 103K00000X 1-20-43096 NU

Addresses

Primary practice location

2311 Energy Dr BLDG 9
Apex, NC 27502-4343

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

4015 W Dublin Granville Rd
Dublin, OH 43017-1436
Phone (614) 451-4465

Other practice location 2

490 White Pond Dr
Akron, OH 44320-1122
Phone (330) 777-3284

Other practice location 3

175 Market Place Dr Ste A
Louisville, KY 40229-4471
Phone (502) 251-7002

Other identifiers 1

IdentifierTypeStateIssuer
1-20-43096OtherBCBA CERTIFICATE

Other names 1

  • Kolleen Maura Duffy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL members.centralreach.com Health Information Exchange (HIE)

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
296201KYMDBehavioral Analyst
1324NCMDBehavioral Analyst
COBA.00714OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC Past Accepting new patients
Reach Educational Services LLC Behavior Analyst PastSince Jun 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1346819828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ENERGY DR BLDG 9",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024343",
            "telephone_number": "984-254-5635",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 W Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171436",
            "country_code": "US",
            "telephone_number": "614-451-4465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 White Pond Dr",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443201122",
            "country_code": "US",
            "telephone_number": "330-777-3284",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Market Place Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402294471",
            "country_code": "US",
            "telephone_number": "502-251-7002",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTENBACH",
        "first_name": "KOLLEEN",
        "middle_name": "MAURA",
        "credential": "MA, BCBA, COBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "296201",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1324",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00714",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-20-43096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-20-43096",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "members.centralreach.com",
            "affiliation": "N",
            "endpointDescription": "Central Reach",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4015 W Dublin Granville Rd",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430171436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KOLLEEN",
            "last_name": "DUFFY",
            "middle_name": "MAURA",
            "credential": "MA, BCBA, COBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.