Active NPI
Jordan Mackenzie Hasler, BCBA
- Behavior Analyst
- Bloomington, IN
National Provider Identifier
1770193997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-76888
- Practice address
- 1923 S Liberty Dr
Bloomington, IN 47403 - Phone
- (812) 330-4460
- Fax
- (812) 330-4461
- NPI assigned
- Aug 3, 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-19-92263 | IN | |
| Behavior Analyst | 103K00000X | 1-24-76888 | IN | Primary |
Addresses
Primary practice location
1923 S Liberty Dr
Bloomington, IN 47403
Mailing address
1923 S Liberty Dr
Bloomington, IN 47403-5146
Phone (812) 330-4460
Other practice location 1
1501 W Tapp Rd
Bloomington, IN 47403-3459
Phone (812) 330-4460
Other practice location 2
450 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 269-3214
Other practice location 3
900 Tutor Ln
Evansville, IN 47715-7295
Phone (812) 602-1038
Other practice location 4
556 S Washington St
Dale, IN 47523
Phone (812) 937-6559
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-19-92263 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach High Consulting and Therapy, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Bloomington, IN
- NPI 1053629246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1770193997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S LIBERTY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035146",
"telephone_number": "812-330-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S LIBERTY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-330-4460",
"fax_number": "812-330-4461"
}
],
"practiceLocations": [
{
"address_1": "1501 W Tapp Rd",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474033459",
"country_code": "US",
"telephone_number": "812-330-4460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 S Landmark Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474035000",
"country_code": "US",
"telephone_number": "812-269-3214",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Tutor Ln",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477157295",
"country_code": "US",
"telephone_number": "812-602-1038",
"fax_number": "812-602-1048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "556 S Washington St",
"address_purpose": "LOCATION",
"city": "Dale",
"state": "IN",
"postal_code": "47523",
"country_code": "US",
"telephone_number": "812-937-6559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASLER",
"first_name": "JORDAN",
"middle_name": "MACKENZIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-19-92263",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-24-76888",
"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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.