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NPI 1114348703 · live from the CMS NPI Registry

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Behavior Analyst in Indianapolis, IN. National Provider Identifier 1114348703, active.

NPI record

NPI1114348703 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3435 W 96th St, Indianapolis, IN 46268
Practice phone317-802-7447
EnumeratedDecember 26, 2013
Last updatedJuly 19, 2019
Authorized officialAlysia Fuhrman, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1118421 (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.