| Shape Behavioral Services Llc | |
|
107 South Indiana Ave Bloomington IN 47405 | |
| (423) 281-4333 | |
| Not Available |
| Full Name | Shape Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 107 South Indiana Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Alex Kiss (DIRECTOR) |
| Authorized Official Contact | 4232814333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Behavioral Services Llc 722 S Liberty St Ste 218 Muncie IN 47305-2346 Ph: (423) 281-4333 | Shape Behavioral Services Llc 107 South Indiana Ave Bloomington IN 47405 Ph: (423) 281-4333 |
| NPI Number | 1932867322 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932867322 | NPI | - | NPPES |
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