| Pair Tree Autism Services Llc | |
|
3449 W State Road 16 Royal Center IN 46978 | |
| (574) 240-8188 | |
| Not Available |
| Full Name | Pair Tree Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3449 W State Road 16, Royal Center, Indiana |
| Authorized Official Name and Position | Shalan Baker (OWNER/BCBA) |
| Authorized Official Contact | 5742408188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pair Tree Autism Services Llc 3449 W State Road 16 Royal Center IN 46978 Ph: () - | Pair Tree Autism Services Llc 3449 W State Road 16 Royal Center IN 46978 Ph: (574) 240-8188 |
| NPI Number | 1104507383 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104507383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |