ANDREW MICHAEL BENEDUM BCBA
NPI 1508536418
Behavior Analyst in Bloomington, IN

Q: What is Andrew Benedum's NPI number?

The NPI number for Andrew Benedum is 1508536418. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Q: What is Andrew Benedum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Benedum was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2021

450 S LANDMARK AVE, BLOOMINGTON, IN 47403(855) 324-0885(317) 520-8200 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Sep 14, 2021 (2 updates tracked since 2021).

On this page

About Andrew Michael Benedum Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW MICHAEL BENEDUM BCBA (NPI 1508536418) is an individual behavior analyst provider in Bloomington, Indiana, licensed in Indiana (1-22-57664) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1508536418

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameANDREW MICHAEL BENEDUMCredential: BCBA

Location Address450 S LANDMARK AVEBloomington, IN 47403-5000

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(855) 324-0885

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateSeptember 14, 2021

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1508536418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in IN · 1-22-57664

Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-184787 (IN)

450 S LANDMARK AVE, Bloomington, IN 47403

Open in Google Maps ↗

Other Identifiers 1

Other1-22-57664IN · Board Certified Behavior Analyst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE CHITWOOD RBT

Behavior Technician