Supportive Care Aba In Llc | |
3209 W Smith Valley Rd Greenwood IN 46142-8495 | |
(317) 936-1240 | |
(317) 936-1241 |
Full Name | Supportive Care Aba In Llc |
---|---|
Speciality | Behavior Analyst |
Location | 3209 W Smith Valley Rd, Greenwood, Indiana |
Authorized Official Name and Position | Ruben Kesherim (MEMBER) |
Authorized Official Contact | 3179361240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Supportive Care Aba In Llc 3209 W Smith Valley Rd Greenwood IN 46142-8495 Ph: (317) 936-1240 | Supportive Care Aba In Llc 3209 W Smith Valley Rd Greenwood IN 46142-8495 Ph: (317) 936-1240 |
NPI Number | 1003539305 |
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Provider Enumeration Date | 09/21/2022 |
Last Update Date | 09/22/2022 |
Certification Date | 09/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003539305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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