Savanna Arredondo

Individual provider Active NPI Behavior Technician · Granger, IN

NPI 1104621671 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1104621671
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-225998 (IN)
Practice address
12425 Adams Rd
Granger, IN 46530-7525
Phone
(574) 387-4313
Fax
(574) 204-2868
NPI assigned
Feb 18, 2025
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-22-225998INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-225998 IN Yes

Addresses

Primary practice location

12425 Adams Rd
Granger, IN 46530-7525

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307
Phone (574) 387-4313

Other providers in Granger, IN

All providers in Granger, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.