| Yellowwood Academy | |
|
1530 W Shamrock Ct Bloomington IN 47403-8948 | |
| (812) 887-4288 | |
| Not Available |
| Full Name | Yellowwood Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1530 W Shamrock Ct, Bloomington, Indiana |
| Authorized Official Name and Position | Blair Grant (OWNER, BCBA) |
| Authorized Official Contact | 8128874288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellowwood Academy 1530 W Shamrock Ct Bloomington IN 47403-8948 Ph: (812) 887-4288 | Yellowwood Academy 1530 W Shamrock Ct Bloomington IN 47403-8948 Ph: (812) 887-4288 |
| NPI Number | 1033946918 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033946918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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