Active NPI
Grace Kindy
- Behavior Analyst
- Jasper, IN
National Provider Identifier
1417528548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 695 3Rd Ave
Jasper, IN 47546-3602 - Phone
- (404) 400-5004
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN | ||
| Assistant Behavior Analyst | 106E00000X | IN | ||
| Behavior Analyst | 103K00000X | IN | Primary |
Addresses
Primary practice location
695 3Rd Ave
Jasper, IN 47546-3602
Mailing address
8616 Gulf Dr Apt D
Fort Wayne, IN 46825-6621
Phone (574) 312-0737
Other practice location 1
10827 Kathy Dr
Fort Wayne, IN 46835-9763
Phone (260) 615-0530
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Analysis Supervisors LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fort Wayne, IN
- NPI 1356171417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1417528548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 GULF DR APT D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256621",
"telephone_number": "574-312-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 3RD AVE",
"city": "JASPER",
"state": "IN",
"postal_code": "475463602",
"telephone_number": "404-400-5004"
}
],
"practiceLocations": [
{
"address_1": "10827 Kathy Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468359763",
"country_code": "US",
"telephone_number": "260-615-0530",
"fax_number": "855-930-3656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINDY",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.