Benjamin Adams, BA

Individual provider Active NPI Behavior Technician · Richmond, IN

NPI 1124654728 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1124654728
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-18-57490 (IN)
Practice address
3771 S a St
Richmond, IN 47374-6053
Phone
(765) 598-4192
Fax
(317) 520-8200
NPI assigned
Mar 16, 2020
Sex
Male
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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-18-57490INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-57490 IN Yes

Addresses

Primary practice location

3771 S a St
Richmond, IN 47374-6053

Mailing address

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

Other providers in Richmond, IN

All providers in Richmond, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.