Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE INDIGO CHILD THERAPEUTIC LLC
Active
Organization
THE INDIGO CHILD THERAPEUTIC LLC
Active
Other names
TIC Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DICKS (OWNER)
(240) 244-9778
Entity
Organization
Contact information
Practice address
7491 OLD ALEXANDRIA FERRY RD, CLINTON, MD 20735-1834
(240) 244-9778
(240) 269-7799
Mailing address
9722 GREEN APPLE TURN, UPPER MARLBORO, MD 20772-4423
(240) 244-9778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/02/2021
Last updated
10/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers