Healthcare Provider Details

I. General information

NPI: 1922948694
Provider Name (Legal Business Name): JAMES CRAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MAIN ST
ANDERSON IN
46013-4233
US

IV. Provider business mailing address

5719 TEAK LN
MCCORDSVILLE IN
46055-0107
US

V. Phone/Fax

Practice location:
  • Phone: 765-400-4258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-525000
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: