NPIMap

Organization Active NPI

Life-Long Behavior Therapy

  • Behavior Analyst
  • Greenwood, IN
National Provider Identifier
1386355709
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIFE-LONG BEHAVIOR THERAPY
Practice address
2503 Fairview PL Ste a
Greenwood, IN 46142-1342
Phone
(317) 450-8342
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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

Authorized official

Name
Hunter S Long, BCBANPI 1932778024
Title
Ceo
Phone
(317) 450-8342

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

2503 Fairview PL Ste a
Greenwood, IN 46142-1342

Mailing address

2503 Fairview PL Ste a
Greenwood, IN 46142-1342
Phone (317) 450-8342

National Provider Directory

National Provider Directory

Locations

2503 Fairview Pl
Ste A
Greenwood, IN 46142
Phone (317) 360-9067

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696118400000",
    "number": "1386355709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 FAIRVIEW PL STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421342",
            "telephone_number": "317-450-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 FAIRVIEW PL STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421342",
            "telephone_number": "317-450-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-LONG BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-450-8342",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.