Active NPI
Move Up ABA
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1962181867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MOVE UP ABA
- Practice address
- 3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766 - Phone
- (888) 575-4798
- NPI assigned
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique McGovern, BCBA
- Title
- Chief Clinical Officer
- Phone
- (888) 575-4798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Mailing address
3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Phone (888) 575-4798
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1962181867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 RIVER CROSSING PKWY STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462407766",
"telephone_number": "888-575-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 RIVER CROSSING PKWY STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462407766",
"telephone_number": "888-575-4798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVE UP ABA",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-13",
"status": "A",
"authorized_official_last_name": "MCGOVERN",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "888-575-4798",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.