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Organization
BASELINE LOGIC LLC
Active
Organization
BASELINE LOGIC LLC
Active
Other names
Teach and Play ABA
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SHRIVASTAV MA, BCBA (OWNER)
(812) 747-9384
Entity
Organization
Contact information
Practice address
4101 E 3RD ST, BLOOMINGTON, IN 47401-5539
(812) 747-9384
(513) 278-5465
Mailing address
4101 E 3RD ST, BLOOMINGTON, IN 47401-5539
(812) 747-9384
(513) 278-5465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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