| Disability And Autism Services Of Indiana Llc | |
|
4561 W County Road 650 N Saint Paul IN 47272-9742 | |
| (812) 322-4374 | |
| Not Available |
| Full Name | Disability And Autism Services Of Indiana Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4561 W County Road 650 N, Saint Paul, Indiana |
| Authorized Official Name and Position | Libbyl A Caswell (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8123224374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Disability And Autism Services Of Indiana Llc 4561 W County Road 650 N Saint Paul IN 47272-9742 Ph: (812) 322-4374 | Disability And Autism Services Of Indiana Llc 4561 W County Road 650 N Saint Paul IN 47272-9742 Ph: (812) 322-4374 |
| NPI Number | 1710202171 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710202171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4008 (Indiana) | Primary |