Individual provider Active NPI

Creid Ayers

  • Behavior Analyst
  • Richmond, IN
National Provider Identifier
1942005228
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-82637 Issued in IN
Practice address
4180 S a St
Richmond, IN 47374-6055
Phone
(574) 387-4313
Fax
(574) 204-2868
NPI assigned
Feb 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-264461 IN
Behavior Analyst 103K00000X 1-25-82637 IN Primary

Addresses

Primary practice location

4180 S a St
Richmond, IN 47374-6055

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307
Phone (574) 387-4313

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

LicenseStateTypeSpecialty
RBT-23-264461INMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1942005228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RED COACH DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458307",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S A ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746055",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "CREID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-23-264461",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-25-82637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.