Renew Behavior Services Llc | |
524 N Elm St Seymour IN 47274-1902 | |
(812) 569-4884 | |
Not Available |
Full Name | Renew Behavior Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 524 N Elm St, Seymour, Indiana |
Authorized Official Name and Position | Michelle Hickman (OWNER/BCBA) |
Authorized Official Contact | 8125694884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renew Behavior Services Llc 524 N Elm St Seymour IN 47274-1902 Ph: (812) 569-4884 | Renew Behavior Services Llc 524 N Elm St Seymour IN 47274-1902 Ph: (812) 569-4884 |
NPI Number | 1801443858 |
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Provider Enumeration Date | 08/23/2019 |
Last Update Date | 08/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801443858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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