SHINE PEDIATRIC THERAPY, LLC
NPI 1659017507
Behavior Analyst in Indianapolis, IN

Q: What is Shine Pediatric Therapy, LLC's NPI number?

The NPI number for Shine Pediatric Therapy, LLC is 1659017507. It was assigned to this organization in the NPPES registry on May 12, 2022.

Q: What is Shine Pediatric Therapy, LLC's specialty?

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

Active since May 12, 2022

8702 FOUNDERS RD, INDIANAPOLIS, IN 46268(317) 452-9430 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 12, 2024, Nov 1, 2023, Oct 23, 2022 and 1 more (4 updates tracked since 2022).

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About Shine Pediatric Therapy, Llc NPPES

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

SHINE PEDIATRIC THERAPY, LLC (NPI 1659017507) is a healthcare organization registered as a behavior analyst in Indianapolis, Indiana and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Indianapolis and lists Courtney Hodge, Owner, as its authorized official.

NPPES Registry Identity

NPI1659017507

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameSHINE PEDIATRIC THERAPY, LLC

Location Address8702 FOUNDERS RDIndianapolis, IN 46268-1337

Mailing Address8702 Founders RdIndianapolis, IN 46268-1337

Phone(317) 452-9430

Organization SubpartNo

Authorized OfficialCourtney HodgeOwner · (317) 452-9430

Enumeration DateMay 12, 2022

Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1659017507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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 ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

8702 FOUNDERS RD, Indianapolis, IN 46268

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Secondary Practice Location 1

Location 18741 Founders RdIndianapolis, IN 46268-1338 · Phone (317) 452-9430

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LAUREN SAUNDERS-EXFORD

Behavior Technician