Indiana Autism Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INDIANA AUTISM SERVICES, LLC

Practice address

5597 N Lye Creek Pkwy
Crawfordsville, IN 47933-7831

Phone

(765) 366-1895

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Stacey Emmert, BCBANPI 1417350547

Title

Bcba / Owner

Phone

(765) 366-1895

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Emmert, BCBA

  • Behavior Analyst
  • Crawfordsville, IN
  • NPI 1417350547
  NPD (past) Authorized official

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1831754159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 N LYE CREEK PKWY",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479337831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 N LYE CREEK PKWY",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479337831",
            "telephone_number": "765-366-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "EMMERT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "BCBA / OWNER",
        "authorized_official_telephone_number": "765-366-1895",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Huls, RBT
• Penny Lee Hunsberger, NP
• Grace Hunt, RBT
• Sondra Kay Hutchison, CANP
• DO Sung Hwang, MD, FAAP
• Indiana Cancer Specialists, LLC
• Andrea Irwin
• Steven M Jacobs, MSW
• Jacy Robling D.D.S., P.C. (All Smiles Dental)
• Christine L Jahn, MSW, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.