| Child's Play Behavior Analysis | |
|
670 Chadings Dr Roanoke IN 46783-8875 | |
| (423) 582-9494 | |
| Not Available |
| Full Name | Child's Play Behavior Analysis |
|---|---|
| Speciality | Behavior Analyst |
| Location | 670 Chadings Dr, Roanoke, Indiana |
| Authorized Official Name and Position | Rebecca Marie-rose Fulcher (BEHAVIOR ANALYST) |
| Authorized Official Contact | 4235829494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child's Play Behavior Analysis 670 Chadings Dr Roanoke IN 46783-8875 Ph: (423) 582-9494 | Child's Play Behavior Analysis 670 Chadings Dr Roanoke IN 46783-8875 Ph: (423) 582-9494 |
| NPI Number | 1306133681 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306133681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1107501 (Illinois) | Primary |
Northeast Psychological Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 578 Geiger Dr, Suite A-1, Roanoke, IN 46783 Phone: 260-676-2252 Fax: 260-676-2260 |