The Indiana Institute for Behavior Analysis, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-11-8855 Issued in IN

Legal business name

THE INDIANA INSTITUTE FOR BEHAVIOR ANALYSIS, INC

Practice address

8650 Commerce Park PL Ste A1
Indianapolis, IN 46268-3174

Phone

(317) 388-8131

Fax

(317) 536-3585

NPI assigned

Jan 19, 2012

Last updated

Dec 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelica N Gray, BCBANPI 1316225014

Title

Ceo

Phone

(317) 388-8131

Specialties & licenses 3

Addresses

Other names 1

• The Indiana Institute for Behavior Analysis, LLC Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelica Nicole Gray, B.C.B.A.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1316225014
  Authorized official Same address or phone
• Ariele Brown, RBT

  • Behavior Analyst
  • Evansville, IN
  • NPI 1508452087
  NPD (past)
• Andrea Christine Crabtree, MA, BCBA, LBA

  • Behavior Analyst
  • Newburgh, IN
  • NPI 1760037642
  NPD (past)
• Kathleen Estelle Kinkade

  • Behavior Analyst
  • Evansville, IN
  • NPI 1912359761
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1861763054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 COMMERCE PARK PL STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683174",
            "telephone_number": "317-388-8131",
            "fax_number": "317-536-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 COMMERCE PARK PL STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683174",
            "telephone_number": "317-388-8131",
            "fax_number": "317-536-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462281730",
            "country_code": "US",
            "telephone_number": "317-388-8131",
            "fax_number": "317-536-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 NW 1st St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477081259",
            "country_code": "US",
            "telephone_number": "812-636-1533",
            "fax_number": "812-636-1534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N Post Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462264134",
            "country_code": "US",
            "telephone_number": "317-388-8131",
            "fax_number": "317-536-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INDIANA INSTITUTE FOR BEHAVIOR ANALYSIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-388-8131",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "1-11-8855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Indiana Institute for Behavior Analysis, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.