Sierra Anderson, RBT

Individual provider Active NPI Behavior Technician · Indianapolis, IN

NPI 1700545589 · NPPES record last updated Dec 9, 2021

Key facts

NPI
1700545589
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-195964 (IN)
Practice address
6635 E 21St St Ste 100
Indianapolis, IN 46219-2252
Phone
(317) 608-2824
Fax
(317) 520-8200
NPI assigned
Dec 9, 2021
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-21-195964INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-195964 IN Yes

Addresses

Primary practice location

6635 E 21St St Ste 100
Indianapolis, IN 46219-2252

Mailing address

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

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.