Erica Ann Bushnell

Individual provider Active NPI Behavior Analyst · Bargersville, IN

NPI 1780176560 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1780176560
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-17-27995 (IN)
Practice address
5850 Somerset Blvd W
Bargersville, IN 46106-9061
Phone
(260) 444-9022
Fax
(260) 444-9022
NPI assigned
Jun 6, 2018
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 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27995 IN Yes

Addresses

Primary practice location

5850 Somerset Blvd W
Bargersville, IN 46106-9061

Mailing address

5850 Somerset Blvd W
Bargersville, IN 46106-9061
Phone (260) 444-9022

Other providers in Bargersville, IN

All providers in Bargersville, IN · Behavior Analyst in Indiana

Sources for this page

Verify at the official NPI Registry.