Active NPI
Borden Kennedy
- Behavior Analyst
- Greenwood, IN
National Provider Identifier
1689315848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-76977
- Practice address
- 21 S Park Blvd Ste 21
Greenwood, IN 46143-8838 - Phone
- (317) 449-2104
- Fax
- (317) 520-8200
- NPI assigned
- Apr 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Behavior Analyst | 103K00000X | 1-24-76977 | IN | Primary |
Addresses
Primary practice location
21 S Park Blvd Ste 21
Greenwood, IN 46143-8838
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
820 Hospital Rd Apt 11
Franklin, IN 46131-2153
Phone (765) 427-3523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U44485355 | Other | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkennedy@btlautism.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1689315848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S PARK BLVD STE 21",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438838",
"telephone_number": "317-449-2104",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "820 Hospital Rd Apt 11",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "461312153",
"country_code": "US",
"telephone_number": "765-427-3523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "BORDEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-03",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-24-76977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U44485355",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkennedy@btlautism.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "820 Hospital Rd Apt 11",
"city": "Franklin",
"state": "IN",
"country_code": "US",
"postal_code": "461312153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.