Active NPI
Alisha Sheree Harris, MA, BCBA
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1962116277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75493
- Practice address
- 201 E Rudisill Blvd Unit B100
Fort Wayne, IN 46806-1738 - Phone
- (260) 255-3665
- NPI assigned
- Jan 11, 2023
- Last updated
- Mar 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-75493 | IN | Primary |
| Behavior Technician | 106S00000X | BACB642280 | IN |
Addresses
Primary practice location
201 E Rudisill Blvd Unit B100
Fort Wayne, IN 46806-1738
Mailing address
201 E Rudisill Blvd Unit B100
Fort Wayne, IN 46806-1738
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB642280 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1962116277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E RUDISILL BLVD UNIT B100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E RUDISILL BLVD UNIT B100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061738",
"telephone_number": "260-255-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ALISHA",
"middle_name": "SHEREE",
"name_prefix": "Mrs.",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-24-75493",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "BACB642280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.