Charlotte Marie Alrosan

Individual provider Active NPI Behavior Analyst · Greenwood, IN

NPI 1609410026 · NPPES record last updated Sep 18, 2024

Key facts

NPI
1609410026
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-19-37851 (IN)
Practice address
360 Polk St
Greenwood, IN 46143-1623
Phone
(317) 888-1557
Fax
(317) 888-1571
NPI assigned
Oct 29, 2019
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
Cornerstone Autism Center Past
since Nov 3, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-37851 IN Yes

Addresses

Primary practice location

360 Polk St
Greenwood, IN 46143-1623

Mailing address

360 Polk St
Greenwood, IN 46143-1623
Phone (317) 888-1557

Other identifiers

IdentifierTypeStateIssuer
090992OtherDOB

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address billing@cornerstoneautismcenter.com Direct

Other providers in Greenwood, IN

All providers in Greenwood, IN · Behavior Analyst in Indiana

Sources for this page

Verify at the official NPI Registry.