Active NPI
Alyssa Fraser
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1417545203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 95001200A
- Practice address
- 5515 N Post Rd
Indianapolis, IN 46216-1000 - Phone
- (317) 300-5725
- NPI assigned
- Jan 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 95001200A | IN | Primary |
Addresses
Primary practice location
5515 N Post Rd
Indianapolis, IN 46216-1000
Mailing address
27777 Inkster Rd
Suite 100
Famington Hills, MI 48334
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001200A | IN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1417545203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD",
"address_2": "SUITE 100",
"city": "FAMINGTON HILLS",
"state": "MI",
"postal_code": "48334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 N POST RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462161000",
"telephone_number": "317-300-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "95001200A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.