Active NPI
Eden Fisher
- Behavior Technician
- Bloomington, IN
National Provider Identifier
1710772926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-346998
- Practice address
- 451 S Park Ridge Rd # 101
Bloomington, IN 47401-8589 - Phone
- (812) 747-9384
- Fax
- (812) 413-2416
- NPI assigned
- Apr 10, 2025
- Last updated
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-346998 | IN | Primary |
Addresses
Primary practice location
451 S Park Ridge Rd # 101
Bloomington, IN 47401-8589
Mailing address
612 State Road Hwy 446
Apt 33a
Bloomington, IN 47401
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 |
|---|---|---|---|
| RBT-24-346998 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1710772926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 STATE ROAD HWY 446",
"address_2": "APT 33A",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 S PARK RIDGE RD # 101",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018589",
"telephone_number": "812-747-9384",
"fax_number": "812-413-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EDEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-24-346998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.