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Krysti Perry , RBT

Behavior Analyst β€’ Portage, IN

Active NPI 1215675343 Individual Practitioner Female Practitioner
Practice location in NPPES

3125 Willowcreek Rd
Portage, IN 463684423

Call 5743874313 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3125 Willowcreek Rd

Portage, IN 463684423

Telephone 5743874313
Organization at the Same NPPES Address or Phone
Vav Operations Ia Llc Facility NPI 1194439661

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in La Porte, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Portage and Indiana

4 active clinicians are listed under Behavior Analyst with a practice address in Portage, IN (2,152 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IN 1-24-71262

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES IN RBT-20-124991

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Secondary Practice Locations

908 Michigan Ave

La Porte, IN 463503505

Phone: 2192290109

705 Harrison St

La Porte, IN 463503417

Phone: 2192290109

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Louis Miceli , DO

Family Medicine

NPI 1679578272

Doctor of Osteopathic Medicine (D.O.)

NPI 1881691947

Doctor of Medicine (M.D.)

Amy Sobas , NP

Nurse Practitioner

NPI 1205872132

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 01, 2024

Registered at 3125 WILLOWCREEK RD, PORTAGE, IN 463684423 (Tel: 5743874313)

πŸ“
Updated Business Mailing Address May 01, 2024

Registered at 3125 WILLOWCREEK RD, PORTAGE, IN 463684423 (Tel: 5743874313)

βœ…
NPI Profile Active May 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2022

Registered at 705 HARRISON ST, LA PORTE, IN 463503417 (Tel: 2192290109)

πŸ“
Business Mailing Address (Initial Record) May 27, 2022

Registered at 705 HARRISON ST, LA PORTE, IN 463503417 (Tel: 2192290109)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2022

Recorded as KRYSTI PERRY, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2022

Behavior Technician (license number reported to NPPES: IN RBT-20-124991)

🟒
Initial NPI Registration & Enumeration May 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215675343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2022
Last Update: May 01, 2024
Sole Proprietor: No

Mailing Address

3125 Willowcreek Rd

Portage, IN 463684423

Phone: 5743874313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.