Mikeria Lashawn Collins
Individual provider Active NPI Behavior Technician · East Chicago, IN
NPI 1689479230 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1689479230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-411671 (IN)
- Practice address
- 4840 Grasselli St
East Chicago, IN 46312-3503 - Phone
- (219) 397-1085
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-411671 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-411671 | IN | Yes |
Addresses
Primary practice location
4840 Grasselli St
East Chicago, IN 46312-3503
Mailing address
8398 Mississippi St
Merrillville, IN 46410-6316
Other providers in East Chicago, IN
- City of East Chicago
- Suzanna Clark
- Cleo Caring Hearts LLC
- Rache Clifton
- Melanie Collins
- Community Healthnet, Inc
- Bethany Cook
- Breyanna Cool
- Ashley Cooper
- Corepoint Medical LLC
All providers in East Chicago, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.