KELLIE MARIE PITTMAN (NPI# 1750899472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750899472 |
Entity Type | Individual |
Full Name | KELLIE MARIE PITTMAN |
Credential | BCABA |
Practice Address |
3711 E Southport Rd Indianapolis IN 46227-7874 |
Practice Telephone | 3177966668 |
Mailing Telephone | 3177966668 |
Mailing Fax Number | 3177592557 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-17-7999 | IN | Behavioral Health & Social Service Providers |
Street Address |
3711 E SOUTHPORT RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46227-7874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
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 |
1649729591 | Autumn Gibson | Behavioral Analyst | 3711 E Southport Rd, Indianapolis, IN 46227-7874 | 2016-10-03 |
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 |
Find all providers in zip 46227 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140848 | Allison Marie Coulston | Assistant Behavior Analyst | 8650 Commerce Park Pl Ste A, Indianapolis, IN 46268-3174 | 2020-10-07 |
1558999201 | Stephanie Terborg | Assistant Behavior Analyst | 7405 Westfield Blvd, Indianapolis, IN 46240-3056 | 2020-03-30 |
1548822034 | Nikia O'hearn | Assistant Behavior Analyst | 70 E 91st St Ste 109, Indianapolis, IN 46240-1550 | 2019-07-03 |
1861908139 | Samantha M Vandergrift | Assistant Behavior Analyst | 7901 E 88th St, Indianapolis, IN 46256-1235 | 2017-12-21 |
1417468133 | Chelsea Morton | Assistant Behavior Analyst | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2017-10-20 |
1760903371 | Ashlee Cullman | Assistant Behavior Analyst | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2017-07-05 |
1861941080 | Melissa Manzer | Assistant Behavior Analyst | 9905 Fall Creek Rd, Indianapolis, IN 46256-4804 | 2016-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083138929 | Madison Collins | Assistant Behavior Analyst | 12912 Coldwater Rd Ste E, Fort Wayne, IN 46845-8871 | 2017-08-02 |
1073114468 | Carissa Culver | Assistant Behavior Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-11-03 |
1033727342 | Shaniya Mcmiller | Assistant Behavior Analyst | 2906 Highway Ave, Highland, IN 46322-1631 | 2020-07-22 |
1972136844 | Sarah Elizabeth Moore | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2020-02-19 |
1073156402 | Joelle Antonia Opyt | Assistant Behavior Analyst | 8398 Mississippi St, Merrillville, IN 46410-6316 | 2019-10-17 |
1770134918 | Kristin Elizabeth Barnes | Assistant Behavior Analyst | 3030 Lake Ave Ste 20, Fort Wayne, IN 46805-5428 | 2019-09-27 |
1487201711 | Susan D Som | Assistant Behavior Analyst | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2019-08-21 |
1881255131 | Krista Jade Kranz | Assistant Behavior Analyst | 3601 W Bethel Ave, Muncie, IN 47304-5408 | 2019-06-27 |
1871059543 | Lindsay Jo Walker | Assistant Behavior Analyst | 3464 S 4th St, Terre Haute, IN 47802-4168 | 2019-02-18 |
1518421882 | Angela Rokosz | Assistant Behavior Analyst | 2906 Highway Ave, Highland, IN 46322-1631 | 2019-01-30 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46227 |
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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.