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Individual provider Active NPI Behavior Technician · Shelbyville, IN

NPI 1043969082 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1043969082
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
120 W Jackson St Ste BC
Shelbyville, IN 46176-1295
Phone
(317) 512-2101
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IN Yes

Addresses

Primary practice location

120 W Jackson St Ste BC
Shelbyville, IN 46176-1295

Mailing address

120 W Jackson St Ste BC
Shelbyville, IN 46176-1295
Phone (317) 512-2101

Other practice location 1

120 W Jackson St Ste Bc
Shelbyville, IN 46176-1295
Phone (317) 512-2101

Other providers in Shelbyville, IN

All providers in Shelbyville, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.