NPIMap

Organization Active NPI

Wabash Center, Inc.

  • Behavior Analyst
  • Lafayette, IN
National Provider Identifier
1669174132
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WABASH CENTER, INC.
Practice address
1500 Salem St
Lafayette, IN 47904-2147
Phone
(765) 423-5531
NPI assigned
Mar 20, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WABASH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Jennifer Moreland
Title
Chro
Phone
(765) 423-5531

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU Primary
Assistant Behavior Analyst 106E00000X NU

Addresses

Primary practice location

1500 Salem St
Lafayette, IN 47904-2147

Mailing address

1500 Salem St
Lafayette, IN 47904-2147
Phone (765) 423-5531

National Provider Directory

National Provider Directory
Tax ID family
Wabash Center Inc5 organizations share this tax ID, including this one
Part of
Wabash Center Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 Salem St
Lafayette, IN 47904
Phone (765) 420-1400

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1669174132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SALEM ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042147",
            "telephone_number": "765-423-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SALEM ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042147",
            "telephone_number": "765-423-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WABASH CENTER, INC.",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHRO",
        "authorized_official_telephone_number": "765-423-5531"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.