Ashley Cooper

Individual provider Active NPI Behavior Technician · East Chicago, IN

NPI 1750189700 · NPPES record last updated Mar 5, 2025

Key facts

NPI
1750189700
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-376817 (IN)
Practice address
4840 Grasselli St
East Chicago, IN 46312-3503
Phone
(219) 397-1085
NPI assigned
Mar 5, 2025
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-24-376817INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-376817 IN Yes

Addresses

Primary practice location

4840 Grasselli St
East Chicago, IN 46312-3503

Mailing address

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 856-5201

Other providers in East Chicago, IN

All providers in East Chicago, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.