| Favorable Behavior Support Services, Llc | |
|
5506 E 21st St Indianapolis IN 46218-4902 | |
| (317) 426-2815 | |
| (800) 330-9507 |
| Full Name | Favorable Behavior Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5506 E 21st St, Indianapolis, Indiana |
| Authorized Official Name and Position | Cameron Hunt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3174696923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Favorable Behavior Support Services, Llc 5506 E 21st St Indianapolis IN 46218-4902 Ph: (317) 426-2815 | Favorable Behavior Support Services, Llc 5506 E 21st St Indianapolis IN 46218-4902 Ph: (317) 426-2815 |
| NPI Number | 1619397981 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619397981 | NPI | - | NPPES |
| 200960000 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Indiana) | Primary |
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