ALISSA LEA BUTLER BS
NPI 1619589066
Behavior Technician in Fort Wayne, IN

NPI Status: Active since August 18, 2020

Contact Information

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 471-9263
Fax: (317) 520-8200

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  • Individual
  • Female
  • Behavior Technician

About ALISSA BUTLER

This page provides the complete NPI Profile along with additional information for Alissa Butler, a provider established in Fort Wayne, Indiana with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1619589066 assigned on August 2020. The practitioner's primary taxonomy code is 106S00000X with license number RBT-20-112232 (IN). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1619589066
Provider Name
ALISSA LEA BUTLER BS
Other Name
ALISSA LEA TRITCH
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4422 E STATE BLVD FORT WAYNE, IN 46815
Location Phone
(260) 471-9263
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
08-18-2020
Last Update Date
08-18-2020
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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 Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License No.
RBT-20-112232
License State
IN
Taxonomy Description
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.

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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.
1619589066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262910818012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 0 + 8 + 1 + 8 + 0 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1619589066 is valid because the calculated check digit 6 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.

KYREN GRIEBEL MS, CCC-SLP

Speech-Language Pathologist

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

ERICA ROSE KORNER DPT

Physical Therapist

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

SHANA MARIE PEPPLE MA, BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

MARTIN DOUGLAS MYERS BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

JANAE NICOLE BROWN BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

MRS. ANNE SCHULTZ METZGER MA, BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

AYRIEL EMERICK MA, BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

GRACE ANNE KIMES RBT

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

JENNA MARIE KINN MOT, OTR

Occupational Therapist

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

JENNALEE AUTUMN YENNA

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

CARA NICOLE HALE

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

LAURA ANNE MINICH MS, CCC-SLP

Speech-Language Pathologist

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

DAVID GIALAMAS

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

KALI OLIVER RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

NANA DADZIE RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

MARY ELIZABETH SITZ MA BCBA

Behavior Analyst

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

HALLIE CAMOS RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

ANATASIA NICOLE HOLSCHER RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

SAMANTHA MICHAEL CAMPERMAN RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

GABRIELLE LOONEY RBT

Behavior Technician

4422 E STATE BLVD
FORT WAYNE, IN
ZIP 46815

(260) 471-9263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619589066, enumerated as an "individual" on August 18, 2020.

The provider is located at 4422 E STATE BLVD FORT WAYNE, IN 46815 and the phone number is (260) 471-9263.

Behavior Technician with taxonomy code 106S00000X.