Active NPI
Sara Grace Cornwell
- Behavior Analyst
- Terre Haute, IN
National Provider Identifier
1740807148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72758
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-125995 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Programming Inc. | Current | 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.
-
- Medical Specialty Clinic/Center
- Indianapolis, IN
- NPI 1770706160
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.