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Organization
LIFE-LONG BEHAVIOR THERAPY
Active
Organization
LIFE-LONG BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER S LONG BCBA (CEO)
(317) 450-8342
Entity
Organization
Contact information
Practice address
2503 FAIRVIEW PL STE A, GREENWOOD, IN 46142-1342
(317) 450-8342
Mailing address
2503 FAIRVIEW PL STE A, GREENWOOD, IN 46142-1342
(317) 450-8342
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/06/2022
Last updated
10/01/2023
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