ANDREW MICHAEL BENEDUM BCBA
NPI 1508536418
Behavior Analyst in Bloomington, IN
NPI Status: Active since September 14, 2021
Contact Information
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (855) 324-0885
Fax: (317) 520-8200
- Individual
- Male
- Behavior Analyst
- Accepts Insurance
About ANDREW BENEDUM
This page provides the complete NPI Profile along with additional information for Andrew Benedum, a provider established in Bloomington, Indiana with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1508536418 assigned on September 2021. The practitioner's primary taxonomy code is 103K00000X with license number 1-22-57664 (IN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1508536418
- Provider Name
- ANDREW MICHAEL BENEDUM BCBA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 450 S LANDMARK AVE BLOOMINGTON, IN 47403
- Location Phone
- (855) 324-0885
- Location Fax
- (317) 520-8200
- Mailing Address
- 3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 46268
- Mailing Phone
- (855) 324-0885
- Mailing Fax
- (317) 520-8200
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2021
- Last Update Date
- 02-03-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-22-57664
- License State
- IN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | RBT-21-184787 (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 3800 Indiv Med Deductible - EPO
- Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8550 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1-22-57664 | OTHER (01) | IN | BOARD CERTIFIED BEHAVIOR ANALYST |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 5 | 3 | 6 | 4 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 10 | 3 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 0 + 3 + 1 + 2 + 4 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1508536418 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MOLLY DIANE ELLIS BCBA
Behavior Analyst
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
ERICA JOHNSON RBT
Behavior Analyst
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
RACHEL NICOLE VIDITO RBT
Behavior Analyst
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
AMANDA TRENT MS, CC-SLP
Speech-Language Pathologist
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
ROSEMITHA THEODULE RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
ASPEN MORGAN RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
SADY ROSE RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
KAYLA LYNN BRAWNER
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
BRITTANY ALBERT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
WILLIAM OLIVER CLAY RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
VERA JANELLE WAGLER RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
CECILIA ELIZABETH CRAIG RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
SOPHIA DELANEY FADA BS
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
JENNIFER MARIE HAUGE BS
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
DAKOTA DANT BULLOCK BA
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
ABIGAIL TERESA KOLK BA
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
KIERSTEN LYNNE ROGERS RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
MIRANDA NICHOLE LEWELLEN BA, RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
SAMANTHA ELEANOR GLENN BA, RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
SIERRA BROOKE VANLANDINGHAM BS, RBT
Behavior Technician
450 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508536418, enumerated as an "individual" on September 14, 2021.
The provider is located at 450 S LANDMARK AVE BLOOMINGTON, IN 47403 and the phone number is (855) 324-0885.
Behavior Analyst with taxonomy code 103K00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.
