Individual provider Active NPI

Alissa McKinney Passios, RBT

  • Behavior Technician
  • Muncie, IN
National Provider Identifier
1689240491
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-65094 Issued in IN
Practice address
3601 W Bethel Ave
Muncie, IN 47304-5408
Phone
(765) 282-8222
Fax
(765) 282-2820
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 RBT-18-65094 IN Primary

Addresses

Primary practice location

3601 W Bethel Ave
Muncie, IN 47304-5408

Mailing address

3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (765) 282-8222

Other practice location 1

605 N Western Ave
Marion, IN 46952-3403
Phone (765) 282-8222

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

LicenseStateTypeSpecialty
RBT-18-65094INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Alphabet Soup ABA, LLC. PastSince Jul 10, 2022 Accepting new patients
Behavior Associates of Indiana LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1689240491",
    "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": "765-282-8222",
            "fax_number": "765-282-2820"
        },
        {
            "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",
            "fax_number": "765-282-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469523403",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "fax_number": "765-282-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY PASSIOS",
        "first_name": "ALISSA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-18-65094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 2, 2021; 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.