Active NPI
Marjie Sandusky, RBT
- Behavior Technician
- Crawfordsville, IN
National Provider Identifier
1902584899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-280290
- Practice address
- 2303 Phil Ward Blvd
Crawfordsville, IN 47933-4607 - Phone
- (317) 520-4748
- Fax
- (888) 498-5529
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-280290 | IN | Primary |
Addresses
Primary practice location
2303 Phil Ward Blvd
Crawfordsville, IN 47933-4607
Mailing address
1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-280290 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Behavior Technician | Current | Accepting new patients |
Locations
1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242
2303 Phil Ward Blvd
Crawfordsville, IN 47933
Phone 3175204748 ext. 106
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1902584899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 E MAIN ST",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121433",
"telephone_number": "317-520-4748",
"fax_number": "888-498-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 PHIL WARD BLVD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479334607",
"telephone_number": "317-520-4748",
"fax_number": "888-498-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDUSKY",
"first_name": "MARJIE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-23-280290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.