| Unlocking The Spectrum | |
|
8646 Guion Rd Indianapolis IN 46268-3011 | |
| (317) 334-7331 | |
| (317) 334-7336 |
| Full Name | Unlocking The Spectrum |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8646 Guion Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Ilana B Hernandez-ritter (FOUNDER) |
| Authorized Official Contact | 8126064413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlocking The Spectrum 5556 N Meridian St Indianapolis IN 46208-2658 Ph: (317) 334-7331 | Unlocking The Spectrum 8646 Guion Rd Indianapolis IN 46268-3011 Ph: (317) 334-7331 |
| NPI Number | 1679895718 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895718 | NPI | - | NPPES |
| 300023751 | Medicaid | IN | |
| 201411430A | Medicaid | IN | |
| 201190880A | Medicaid | IN | |
| 300023732 | Medicaid | IN | |
| 300023734 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
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