NPI 1124424973 · live from the CMS NPI Registry
Roberto Andrade-Plaza, BCBA, IBA
Behavior Analyst in Bloomington, IN. National Provider Identifier 1124424973, active.
NPI record
| NPI | 1124424973 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 450 S Landmark Ave, Bloomington, IN 47403 |
| Practice phone | 812-269-3214 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | November 6, 2014 |
| Last updated | September 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-33225 (IN) |
| Behavior Analyst primary | 103K00000X | 1-18-33225 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.