Behavior Specialists Of Indiana, Llc | |
2611a Chicago St Valparaiso IN 46383-6111 | |
(219) 462-6705 | |
(219) 464-4318 |
Full Name | Behavior Specialists Of Indiana, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2611a Chicago St, Valparaiso, Indiana |
Authorized Official Name and Position | Robert R. Schneider (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2194626705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavior Specialists Of Indiana, Llc 2611a Chicago St Valparaiso IN 46383-6111 Ph: (219) 462-6705 | Behavior Specialists Of Indiana, Llc 2611a Chicago St Valparaiso IN 46383-6111 Ph: (219) 462-6705 |
NPI Number | 1194991778 |
---|---|
Provider Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194991778 | NPI | - | NPPES |
200536380 | Medicaid | IN | |
200650880 | Medicaid | IN | |
200717130A | Medicaid | IN | |
200447720A | Medicaid | IN | |
200173830A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 20041239 (Indiana) | Primary |
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