NPI 1114898749 · live from the CMS NPI Registry
Krista Anderson
Behavior Technician in Lafayette, IN. National Provider Identifier 1114898749, active.
NPI record
| NPI | 1114898749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 3595 Sagamore Pkwy N Ste 5, Lafayette, IN 47904 |
| Practice phone | 765-637-8236 |
| Mailing address | 772 Clydesdale Dr, Lafayette, IN 47905 |
| Enumerated | September 16, 2025 |
| Last updated | November 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician primary | 106S00000X | — (IN) |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.