Austin Ross Berndt

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB452883 Issued in IN

Practice address

125 W Taylor St
Kokomo, IN 46901-4554

Phone

(765) 419-0411

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Indiana Behavior Analysis Academy

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1003231903
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1780306217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MENOMONEE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025447",
            "telephone_number": "765-271-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W TAYLOR ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014554",
            "telephone_number": "765-419-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 E Hoffer St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022474",
            "country_code": "US",
            "telephone_number": "765-419-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "AUSTIN",
        "middle_name": "ROSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "BACB452883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin@indianabaa.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 W Taylor St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Bennett, BCBA
• Bryanna Bentley
• Emily Benziger
• Jonathan Michael Daniel Berger, ATC
• Calvin Ray Berghoff, PTA
• Jessica L Berndt, DEVELOPMENTAL THERAP
• Kelly Denise Berry, LDH
• Sara Elizabeth Berry, FNP-C
• Christy Berryman
• Corinna Bertram

• Behavior Analyst in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.