SARA ALLYN SHRIVASTAV


Address: 3711 E Southport Rd, Indianapolis, IN 46227
Phone: 2482990030

SARA ALLYN SHRIVASTAV (NPI# 1639551344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639551344
Entity Type Individual
Full Name SARA ALLYN SHRIVASTAV
Practice Address 3711 E Southport Rd
Indianapolis
IN 46227
Mailing Address 27777 Inkster Rd Ste 100
Farmington Hills
MI 48334-5326
Practice Telephone 2482990030
Mailing Telephone 2482990030
Enumeration Date 2015-06-18
Last Update Date 2019-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3262 Woe Be Tide, Ann Arbor, MI 481082086 8149338962

Office Location

Street Address 3711 E SOUTHPORT RD
City INDIANAPOLIS
State IN
Zip Code 46227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568920452 Lauren Symons Behavior Technician 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1548728439 Katherine Rich Behavior Technician 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1093273989 Sara Schaler Behavior Technician 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1912465808 Jessica Preddie Behavior Technician 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1396203287 Alyssa Gale Behavioral Analyst 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1447718333 Brittany Elliot Behavior Technician 3711 E Southport Rd, Indianapolis, IN 46227-7874 2019-03-09
1750899472 Kellie Marie Pittman Assistant Behavior Analyst 3711 E Southport Rd, Indianapolis, IN 46227-7874 2018-01-16
1649729591 Autumn Gibson Behavioral Analyst 3711 E Southport Rd, Indianapolis, IN 46227-7874 2016-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
1629456017 Elizabeth Claire Mazzone Obstetrics & Gynecology 1550 E County Line Rd Ste 300, Indianapolis, IN 46227 2015-05-18
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184223075 Hope Transitional Services LLC Behavioral Analyst 10737 Jimmy Lake Dr, Indianapolis, IN 46239 2020-10-21
1497371694 Mobile Therapy Centers of Indiana, LLC Behavioral Analyst 4170 Washington Blvd, Indianapolis, IN 46205-2617 2020-06-23
1417572272 Hannah Jossen Ferrill Behavioral Analyst 6635 East 21st Street West Building, Indianapolis, IN 46219-2254 2020-06-08
1184251001 Hope Transitional Services LLC Behavioral Analyst 7830 Palawan Way Apt A, Indianapolis, IN 46239-2212 2020-03-23
1124679832 Kelsey Jean Lindberg Behavioral Analyst 1722 W 16th St, Indianapolis, IN 46202-2031 2019-09-24
1700430956 Jack Graves Behavioral Analyst 1402 Olive St, Indianapolis, IN 46203-1928 2019-07-26
1831751205 Healthy Options LLC Behavioral Analyst 10162 Sedgehill Dr, Indianapolis, IN 46239-9762 2019-07-05
1447818091 Mindful and Modern Methods for Aba, Inc Behavioral Analyst 7507 Michigan Rd, Indianapolis, IN 46268-2321 2019-05-30
1952967630 Ashli Nichole Degenfelder Behavioral Analyst 1389 W 86th St # 170, Indianapolis, IN 46260-2101 2019-05-17
1629540869 E Behavior Solutions LLC Behavioral Analyst 4515 Chatham Pl, Indianapolis, IN 46226-3236 2018-12-28
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Competitor

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City INDIANAPOLIS
Zip Code 46227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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