Sydney Baines, RBT

Individual provider Active NPI Behavior Technician · Carmel, IN

NPI 1104494855 · NPPES record last updated Jun 17, 2021

Key facts

NPI
1104494855
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-172036 (IN)
Practice address
11450 N Meridian St Ste 100
Carmel, IN 46032-4688
Phone
(317) 689-7850
Fax
(317) 520-8200
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-172036INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-172036 IN Yes

Addresses

Primary practice location

11450 N Meridian St Ste 100
Carmel, IN 46032-4688

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in Carmel, IN

All providers in Carmel, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.