| Purple Door Academy | |
|
705 Harrison St La Porte IN 46350-3417 | |
| (219) 229-0109 | |
| Not Available |
| Full Name | Purple Door Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 705 Harrison St, La Porte, Indiana |
| Authorized Official Name and Position | Valerie Weber (OWNER) |
| Authorized Official Contact | 2192290109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Door Academy 705 Harrison St La Porte IN 46350-3417 Ph: (219) 229-0109 | Purple Door Academy 705 Harrison St La Porte IN 46350-3417 Ph: (219) 229-0109 |
| NPI Number | 1144786716 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144786716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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