| Autism Brain Alternatives, Inc | |
|
614 E Boulevard Kokomo IN 46902-2271 | |
| (765) 461-1245 | |
| Not Available |
| Full Name | Autism Brain Alternatives, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 614 E Boulevard, Kokomo, Indiana |
| Authorized Official Name and Position | Clinton Paul (PRESIDENT/OWNER) |
| Authorized Official Contact | 7654611245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Brain Alternatives, Inc 614 E Boulevard Kokomo IN 46902-2271 Ph: (765) 461-1245 | Autism Brain Alternatives, Inc 614 E Boulevard Kokomo IN 46902-2271 Ph: (765) 461-1245 |
| NPI Number | 1477863520 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477863520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1084008 (Indiana) | Primary |
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