Child's Play Behavior Analysis | |
2855 Northpark Ave Huntington IN 46750-4262 | |
(260) 356-2222 | |
Not Available |
Full Name | Child's Play Behavior Analysis |
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Speciality | Behavior Analyst |
Location | 2855 Northpark Ave, Huntington, Indiana |
Authorized Official Name and Position | Jason Shaw (PRESIDENT) |
Authorized Official Contact | 2603562222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Child's Play Behavior Analysis 2855 Northpark Ave Huntington IN 46750-4262 Ph: (260) 356-2222 | Child's Play Behavior Analysis 2855 Northpark Ave Huntington IN 46750-4262 Ph: (260) 356-2222 |
NPI Number | 1588071013 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 07/16/2014 |
Identifier | Type | State | Issuer |
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1588071013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-13-14641 (Indiana) | Primary |
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