IndividualActive
Danielle Anderson, RBT
NPI 1255004875 · Behavior Technician · South Bend, IN
Provider details
- NPI number
- 1255004875
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-177918 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2021-07-29
- Last updated
- 2021-07-29
- Certified
- 2021-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.