| Merriment Aba Llc | |
|
3375 Edgefield Pl Columbus IN 47203-4459 | |
| (812) 212-9275 | |
| Not Available |
| Full Name | Merriment Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3375 Edgefield Pl, Columbus, Indiana |
| Authorized Official Name and Position | Regan Roberts (OWNER) |
| Authorized Official Contact | 8122129275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merriment Aba Llc 3375 Edgefield Pl Columbus IN 47203-4459 Ph: (812) 212-9275 | Merriment Aba Llc 3375 Edgefield Pl Columbus IN 47203-4459 Ph: (812) 212-9275 |
| NPI Number | 1790551737 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790551737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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