Odessi Brown

Individual provider Active NPI Behavior Technician · Indianapolis, IN

NPI 1972394534 · NPPES record last updated May 14, 2025

Key facts

NPI
1972394534
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8702 Founders Rd
Indianapolis, IN 46268-1337
Phone
(317) 452-9430
NPI assigned
May 14, 2025
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
Shine Pediatric Therapy, LLC Current
since May 18, 2025
Accepting new patients

Locations

8741 Founders Rd
Indianapolis, IN 46268
Phone (317) 452-9430

8702 Founders Rd
Indianapolis, IN 46268
Phone (317) 452-9430

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X KY Yes

Addresses

Primary practice location

8702 Founders Rd
Indianapolis, IN 46268-1337

Mailing address

8702 Founders Rd
Indianapolis, IN 46268-1337

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.