Benjamin Alm – Behavior Technician in Columbus, IN

Key facts

NPI: 1730815804
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-18-56032 (IN)
Practice address: 2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone: (812) 413-9321
NPI assigned: Jul 29, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Imprint Pediatric Therapy LLC. Behavior Analyst · Nashville, IN · NPI 1902371396

NPD (past)

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-18-56032	IN	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Imprint Pediatric Therapy LLC.		Past since Jul 31, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-18-56032	IN	Yes

Addresses

Primary practice location

2600 Sandcrest Blvd
Columbus, IN 47203-3053

Mailing address

2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone (812) 413-9321

Other practice location 1

315 Washington St
Columbus, IN 47201-6743
Phone (812) 413-9321

Other providers in Columbus, IN

All providers in Columbus, 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 Jul 29, 2022. 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.

Verify at the official NPI Registry.