NPI 1407460710 · live from the CMS NPI Registry
James Ross Anderson, MS
Behavior Analyst in Lafayette, IN. National Provider Identifier 1407460710, active.
NPI record
| NPI | 1407460710 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3781 Bayley Dr Ste B, Lafayette, IN 47905 |
| Practice phone | 765-201-4767 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | September 3, 2020 |
| Last updated | February 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-76423 (IN) |
| Behavior Analyst primary | 103K00000X | 1-22-57572 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.