Mitchell Ridgway

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-365816

Practice address

300 N 10TH St
Gas City, IN 46933-1605

Phone

(888) 877-7222

Fax

(317) 978-3478

NPI assigned

Jan 15, 2025

Last updated

Aug 25, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• School-Based Behavior Consultation LLC

  • Behavior Analyst
  • New Palestine, IN
  • NPI 1275151987

  Behavior Technician

  NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1861203200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 W US 52",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461638950",
            "telephone_number": "888-877-2222",
            "fax_number": "317-978-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 10TH ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331605",
            "telephone_number": "888-877-7222",
            "fax_number": "317-978-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7375 W US 52",
            "address_purpose": "LOCATION",
            "city": "New Palestine",
            "state": "IN",
            "postal_code": "461638950",
            "country_code": "US",
            "telephone_number": "888-877-7222",
            "fax_number": "317-978-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-24-365816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedics-Indianapolis, Inc
• Personal Care Concepts Plus, Inc.
• Physicians' Billing of MGH (Mississinewa Medical Center, Dr. Lori Fuqua)
• Kellie Planck
• Teryn Jane Renbarger, M.A., CCC-SLP
• Shyanna Robison
• Madisen Paige Rodarte, MSW
• Payton Michael Scott, PT, DPT, LAT, AC
• Dawn Pearl Smith, LPN
• Karlee Stambaugh

• Behavior Technician in Gas City, IN
• Providers in Gas City, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.