Trevor Adams
Individual provider Active NPI Behavior Technician · Plainfield, IN
NPI 1962234161 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1962234161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-364919 (IN)
- Practice address
- 160 Plainfield Village Dr Ste 101
Plainfield, IN 46168-2782 - Phone
- (463) 888-0118
- Fax
- (317) 520-8200
- NPI assigned
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-364919 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-364919 | IN | Yes |
Addresses
Primary practice location
160 Plainfield Village Dr Ste 101
Plainfield, IN 46168-2782
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
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- Emma Acton
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All providers in Plainfield, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.