| Diverse Dimensions Behavior Consulting Llc | |
|
1105 Beal Ct Indianapolis IN 46217-5360 | |
| (317) 654-6806 | |
| Not Available |
| Full Name | Diverse Dimensions Behavior Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1105 Beal Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Deon Decannon Davis (OWNER) |
| Authorized Official Contact | 3176546806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Dimensions Behavior Consulting Llc 1105 Beal Ct Indianapolis IN 46217-5360 Ph: (317) 654-6806 | Diverse Dimensions Behavior Consulting Llc 1105 Beal Ct Indianapolis IN 46217-5360 Ph: (317) 654-6806 |
| NPI Number | 1053125567 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053125567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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