| Forever Forward Autism Center | |
|
706 S Indiana Ave Kokomo IN 46901-5388 | |
| (765) 867-8880 | |
| Not Available |
| Full Name | Forever Forward Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 706 S Indiana Ave, Kokomo, Indiana |
| Authorized Official Name and Position | Skylarr Raquel Shurn (CEO) |
| Authorized Official Contact | 7658678880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Forward Autism Center 706 S Indiana Ave Kokomo IN 46901-5388 Ph: (765) 867-8880 | Forever Forward Autism Center 706 S Indiana Ave Kokomo IN 46901-5388 Ph: (765) 867-8880 |
| NPI Number | 1194506618 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194506618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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