Brandy Cooper

Individual provider Active NPI Behavior Technician · Huntington, IN

NPI 1467246306 · NPPES record last updated Apr 7, 2025

Key facts

NPI
1467246306
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-343241 (IN)
Practice address
80 Commercial Rd
Huntington, IN 46750-8805
Phone
(260) 459-6040
Fax
(260) 338-4914
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-343241INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Autism Center, Inc Current
since Apr 13, 2025
Accepting new patients

Locations

5601 Coventry Ln
Fort Wayne, IN 46804
Phone (260) 755-1438

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-343241 IN Yes

Addresses

Primary practice location

80 Commercial Rd
Huntington, IN 46750-8805

Mailing address

5601 Coventry LN
Fort Wayne, IN 46804-7145
Phone (260) 459-6040

Other providers in Huntington, IN

All providers in Huntington, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.