Indiana Applied Behavior Analysis Institute

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INDIANA APPLIED BEHAVIOR ANALYSIS INSTITUTE

Practice address

2415 Hoagland Ave
Fort Wayne, IN 46807-1333

Phone

(888) 667-1181

NPI assigned

Oct 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Amy McComas, MA, BCBA

Title

Ceo

Phone

(260) 479-0295

Specialties & licenses 1

Addresses

Other names 1

• Indiana ABA Institute Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara N. Hammond, BCBA

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1285007070
  NPD (past)
• Ashlee Keuneke, BCBA

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1821334624
  NPD (past)
• Heather Marie Stauffer, BCBA

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1629411293
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1619286754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10343",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468510343",
            "telephone_number": "260-479-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HOAGLAND AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071333",
            "telephone_number": "888-667-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA APPLIED BEHAVIOR ANALYSIS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "MCCOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-479-0295",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana ABA Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.