Active NPI
Rachael Haley, BCBA
- Behavior Analyst
- Clarksville, IN
National Provider Identifier
1689323636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 632 Eastern Blvd
Clarksville, IN 47129-2463 - Phone
- (317) 249-2242
- Fax
- (844) 689-6798
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-161240 | IN | |
| Behavior Analyst | 103K00000X | IN | Primary |
Addresses
Primary practice location
632 Eastern Blvd
Clarksville, IN 47129-2463
Mailing address
550 Congressional Blvd Ste 220
Carmel, IN 46032-5632
Phone (317) 224-2242
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@littlestaraba.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-161240 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1689323636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CONGRESSIONAL BLVD STE 220",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325632",
"telephone_number": "317-224-2242",
"fax_number": "844-689-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 EASTERN BLVD",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292463",
"telephone_number": "317-249-2242",
"fax_number": "844-689-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "RACHAEL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "21-161240",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@littlestaraba.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "632 Eastern Blvd",
"city": "Clarksville",
"state": "IN",
"country_code": "US",
"postal_code": "471292463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.