James Ross Anderson, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-57572 Issued in IN

Practice address

3781 Bayley Dr Ste B
Lafayette, IN 47905-8657

Phone

(765) 201-4767

Fax

(317) 520-8200

NPI assigned

Sep 3, 2020

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1407460710",
    "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": "3781 BAYLEY DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058657",
            "telephone_number": "765-201-4767",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "ROSS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-57572",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-76423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-22-57572",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jon Amptmeyer
• Benjamin Thomas Anderson, D.O.
• Carrie Ann Anderson, RD
• Chantel Kelly Anderson, NP
• Corey D Anderson, MD
• Jennifer Caron Anderson, RD, CDE
• Jolynne Anderson, AGPCNP-BC
• Judith Anderson, PH.D.
• Krista Anderson
• Michaela Anderson, NP-C

• Behavior Analyst in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.