Bianca Rosa Malagese, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

252305 Issued in KY

Practice address

2614 Charlestown Rd
New Albany, IN 47150-2529

Phone

(930) 204-2414

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bianca Rosa Coleman Former name

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.

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1891380671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 CASON ST # 2",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042843",
            "telephone_number": "765-446-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502529",
            "telephone_number": "930-204-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477142320",
            "country_code": "US",
            "telephone_number": "812-901-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAGESE",
        "first_name": "BIANCA",
        "middle_name": "ROSA",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-19-36333",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "252305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "COLEMAN",
            "middle_name": "ROSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Birrilla Maddox, D.O.
• Jessica Madison, RBT
• Marilyn M Mahan, M.D.
• Zackery Alan Main
• Mohammad E Majd, MD
• Kaitlin Malone
• Srinivasarao Manchikalapudi, MD
• Kristopher Mandy, PSYD
• Jayda Marble
• Kelsey Lauren Marshall, WHNP

• Behavior Analyst in New Albany, IN
• Providers in New Albany, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.