Circle City Aba | |
2785 Cason St Lafayette IN 47904-2843 | |
(765) 446-4185 | |
(855) 915-0244 |
Full Name | Circle City Aba |
---|---|
Speciality | Behavior Analyst |
Location | 2785 Cason St, Lafayette, Indiana |
Authorized Official Name and Position | William Jay Cochrane (VICE PRESIDENT OF STRATEGIC DEV.) |
Authorized Official Contact | 3175023512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Circle City Aba 2785 Cason St Lafayette IN 47904-2843 Ph: (317) 502-3512 | Circle City Aba 2785 Cason St Lafayette IN 47904-2843 Ph: (765) 446-4185 |
NPI Number | 1235676990 |
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Provider Enumeration Date | 01/19/2017 |
Last Update Date | 06/13/2022 |
Certification Date | 06/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235676990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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