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Organization
MOBILE THERAPY CENTERS OF INDIANA, LLC
Active
Organization
MOBILE THERAPY CENTERS OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL SEPULVEDA (OFFICE MANAGER)
(847) 816-7200
Entity
Organization
Contact information
Practice address
4170 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-2617
(847) 816-7200
Mailing address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048
(847) 816-7200
(847) 816-7210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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