Individual provider Active NPI

Deeleiloh Alie

  • Behavior Technician
  • Muncie, IN
National Provider Identifier
1497551303
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3601 W Bethel Ave
Muncie, IN 47304-5408
Phone
(765) 282-8222
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

3601 W Bethel Ave
Muncie, IN 47304-5408

Mailing address

3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (317) 790-7705

Other practice location 1

2620 Accutech Way
Muncie, IN 47304-9462
Phone (765) 282-8222

Other practice location 2

3701 W Bethel Ave
Muncie, IN 47304-5467
Phone (765) 282-8222

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

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

OrganizationSpecialtyStatusNew patients
Behavior Associates of Indiana LLC CurrentSince Feb 23, 2025 Accepting new patients
Behavior Associates of Iowa LLC PastSince Feb 23, 2025 Accepting new patients

Locations

3601 W Bethel Ave
Muncie, IN 47304
Phone (765) 876-5098

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1497551303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045408",
            "telephone_number": "317-790-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045408",
            "telephone_number": "765-282-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Accutech Way",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473049462",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045467",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIE",
        "first_name": "DEELEILOH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "3601 W Bethel Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473045408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.