Behaviorcorp
Organization Active NPI Driver · Noblesville, IN
NPI 1295893584 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1295893584
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Driver 172A00000X
- Legal business name
- BEHAVIORCORP
- Practice address
- 9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360 - Phone
- (317) 587-0500
- Fax
- (317) 674-0060
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy Crocket
- Title
- Cfo
- Phone
- (317) 587-0505
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Aspire Indiana Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | Yes |
Addresses
Primary practice location
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Mailing address
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Phone (317) 587-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200047810A | Medicaid | IN |
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.