Guidance Pediatrics And Autism Services LLC
Behavior Analyst in Brazil, IN. Organization (NPI-2).
NPI number1316700677
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1316700677
- Entity type
- Organization (NPI-2)
- Legal business name
- Guidance Pediatrics And Autism Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – |
Practice location
6657 W County Road 900 NBrazil, IN 47834-7952
Phone 812-239-6293
Mailing address
8465 Keystone CrossingSuite 115 #1201
Indianapolis, IN 46240
Phone 812-239-6293
Authorized official
Alyssa Petrowski
Owner
8122396293
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