| Shape Behavior Solutions, Llc | |
|
5534 Saint Joe Rd Fort Wayne IN 46835-3328 | |
| (630) 240-4437 | |
| Not Available |
| Full Name | Shape Behavior Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5534 Saint Joe Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Christina M Imgrund (PARTNER) |
| Authorized Official Contact | 6302404437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Behavior Solutions, Llc 1389 W 86th St # 177 Indianapolis IN 46260-2101 Ph: () - | Shape Behavior Solutions, Llc 5534 Saint Joe Rd Fort Wayne IN 46835-3328 Ph: (630) 240-4437 |
| NPI Number | 1558021485 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 02/21/2022 |
| Certification Date | 02/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558021485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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