| Partnership For Behavior Change | |
|
2314 Miami St South Bend IN 46614-1336 | |
| (574) 329-6856 | |
| (888) 675-2345 |
| Full Name | Partnership For Behavior Change |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2314 Miami St, South Bend, Indiana |
| Authorized Official Name and Position | Sorah Stein (OWNER CLINICAL DIRECTOR) |
| Authorized Official Contact | 5743296856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnership For Behavior Change 2314 Miami St South Bend IN 46614-1336 Ph: (574) 329-6856 | Partnership For Behavior Change 2314 Miami St South Bend IN 46614-1336 Ph: (574) 329-6856 |
| NPI Number | 1114302999 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114302999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4169 (* (Not Available)) | Primary |
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