Kellie Marie Pittman, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-7999 Issued in IN

Practice address

1800 W 900 S
Flat Rock, IN 47234-9773

Phone

(317) 512-2101

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Centrality Behavior Support Training LLC

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1912329020
  NPD (past)
• Cheryl Swearingan

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1427550243
  NPD (past)

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1750899472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277874",
            "telephone_number": "317-796-6668",
            "fax_number": "317-759-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 900 S",
            "city": "FLAT ROCK",
            "state": "IN",
            "postal_code": "472349773",
            "telephone_number": "317-512-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 E Southport Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462277874",
            "country_code": "US",
            "telephone_number": "317-796-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": "0-17-7999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Beaty, P,T,
• Beyond the Label Autism Services LLC
• Melissa Harness
• Blake Neal McClure
• Justin Scott Mings
• Emily Simpson, LMHC
• Amy Jean Swinford, P.T.
• Therapy Matters, Inc.
• Willow Grove Wellness, LLC

• All providers in Flat Rock, IN
• Assistant Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.