| Baseline Logic Llc | |
|
4438 E Elouise Ave Bloomington IN 47408-3202 | |
| (812) 345-6388 | |
| Not Available |
| Full Name | Baseline Logic Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4438 E Elouise Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Sara Allyn Shrivastav (CEO) |
| Authorized Official Contact | 8123456388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baseline Logic Llc 2815 E 3rd St # 1011 Bloomington IN 47401-5434 Ph: (812) 345-6388 | Baseline Logic Llc 4438 E Elouise Ave Bloomington IN 47408-3202 Ph: (812) 345-6388 |
| NPI Number | 1598477879 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598477879 | NPI | - | NPPES |
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