| Shine Pediatric Therapy, Llc | |
|
8702 Founders Rd Indianapolis IN 46268-1337 | |
| (317) 452-9430 | |
| Not Available |
| Full Name | Shine Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8702 Founders Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Courtney Hodge (OWNER) |
| Authorized Official Contact | 3174529430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Pediatric Therapy, Llc 8702 Founders Rd Indianapolis IN 46268-1337 Ph: () - | Shine Pediatric Therapy, Llc 8702 Founders Rd Indianapolis IN 46268-1337 Ph: (317) 452-9430 |
| NPI Number | 1659017507 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659017507 | NPI | - | NPPES |
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