| Full Spectrum Aba Therapy | |
|
407 Meadow Ave Crawfordsville IN 47933-2718 | |
| (317) 318-4352 | |
| Not Available |
| Full Name | Full Spectrum Aba Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 407 Meadow Ave, Crawfordsville, Indiana |
| Authorized Official Name and Position | Lauren Long (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3173184352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Aba Therapy 407 Meadow Ave Crawfordsville IN 47933-2718 Ph: (317) 318-4352 | Full Spectrum Aba Therapy 407 Meadow Ave Crawfordsville IN 47933-2718 Ph: (317) 318-4352 |
| NPI Number | 1427633783 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427633783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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