| Living Forward Aba, Llc | |
|
3426 W Delphi Pike Marion IN 46952-9266 | |
| (410) 688-9989 | |
| Not Available |
| Full Name | Living Forward Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3426 W Delphi Pike, Marion, Indiana |
| Authorized Official Name and Position | Anthony Decker (OWNER) |
| Authorized Official Contact | 7655060297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Forward Aba, Llc 3426 W Delphi Pike Marion IN 46952-9266 Ph: () - | Living Forward Aba, Llc 3426 W Delphi Pike Marion IN 46952-9266 Ph: (410) 688-9989 |
| NPI Number | 1205477452 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205477452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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