Kelly Aldrich
Individual provider Active NPI Behavior Technician · Indianapolis, IN
NPI 1346901535 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1346901535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8350 Craig St
Indianapolis, IN 46250-3593 - Phone
- (317) 578-0410
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8350 Craig St
Indianapolis, IN 46250-3593
Mailing address
8350 Craig St
Indianapolis, IN 46250-3593
Phone (317) 578-0410
NPI Registry JSON
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1346901535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593",
"telephone_number": "317-578-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593",
"telephone_number": "317-578-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRICH",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Anne Alderfer
- Alexandra Alderson
- Christen Alderson
- Aldrich Pediatric Dentistry
- Jill Carson Aldrich
- Hali Christine Aldridge
- Daniel Paul Aldulescu
- Yasser Aldurra
- Aleann Services LLC
- Alec H. Jaret, DMD, PC
All providers in Indianapolis, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. 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.