Individual provider Active NPI

Sara Grace Cornwell

  • Behavior Analyst
  • Terre Haute, IN
National Provider Identifier
1740807148
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-72758 Issued in IN
Practice address
399 Hospital LN
Terre Haute, IN 47802-4394
Phone
(812) 645-2308
Fax
(317) 520-8200
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-125995 IN
Behavior Analyst 103K00000X 1-24-72758 IN Primary

Addresses

Primary practice location

399 Hospital LN
Terre Haute, IN 47802-4394

Mailing address

7901 E 88TH St
Indianapolis, IN 46256-1235

Other practice location 1

1341 Ohio St
Terre Haute, IN 47807-3940
Phone (812) 478-5437

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

LicenseStateTypeSpecialty
RBT-20-125995INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Programming Inc. CurrentSince Jan 12, 2025 Accepting new patients

Locations

7901 E 88th St
Indianapolis, IN 46256
Phone (317) 842-5437

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1740807148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 HOSPITAL LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024394",
            "telephone_number": "812-645-2308",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478073940",
            "country_code": "US",
            "telephone_number": "812-478-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "SARA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-20-125995",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-24-72758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.