KELLIE MARIE PITTMAN


Address: 3711 E Southport Rd, Indianapolis, IN 46227-7874
Phone: 3177966668

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst 0-17-7999 IN Behavioral Health & Social Service Providers

Office Location

Street Address 3711 E SOUTHPORT RD
City INDIANAPOLIS
State IN
Zip Code 46227-7874

Providers in the same location

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

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 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City INDIANAPOLIS
Zip Code 46227

Improve Information

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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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