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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3262 Woe Be Tide, Ann Arbor, MI 481082086 | 8149338962 |
| Street Address |
3711 E SOUTHPORT RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227 |
| 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 |
| 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 | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| 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 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on SARA ALLYN SHRIVASTAV.
| 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.