| The Missing Piece Aba Therapy | |
|
6365 N 400 E Kendallville IN 46755-9346 | |
| (260) 336-3350 | |
| Not Available |
| Full Name | The Missing Piece Aba Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6365 N 400 E, Kendallville, Indiana |
| Authorized Official Name and Position | Sonia Marie Hall (BCBA) |
| Authorized Official Contact | 2603363350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Missing Piece Aba Therapy 6365 N 400 E Kendallville IN 46755-9346 Ph: () - | The Missing Piece Aba Therapy 6365 N 400 E Kendallville IN 46755-9346 Ph: (260) 336-3350 |
| NPI Number | 1063081156 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063081156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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Northeastern Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St, Kendallville, IN 46755 Phone: 260-347-2453 Fax: 260-347-2456 | |
Northeastern Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 S Main St, Kendallville, IN 46755 Phone: 260-347-2453 Fax: 260-347-2456 | |
Northeastern Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St, Kendallville, IN 46755 Phone: 260-347-2453 Fax: 260-347-2456 |