Chenoa Spurlock

Individual provider Active NPI Behavior Technician · Atlanta, IN

NPI 1497566905 · NPPES record last updated Feb 14, 2025

Key facts

NPI
1497566905
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
29101 N State Road 19
Atlanta, IN 46031-9443
Phone
(317) 918-2689
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Behavioral Solutions LLC Past
since Jan 19, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

29101 N State Road 19
Atlanta, IN 46031-9443

Mailing address

7425 Westfield Blvd
Indianapolis, IN 46240-3056

Other providers in Atlanta, IN

All providers in Atlanta, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.