# INDY SUPERB ABA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629799184
- **Authorized official:** JASMINE SANDERS (CEO)
- **Authorized official phone:** (317) 722-9334

## Contact information

- **Practice address:** 5435 EMERSON WAY STE 404, INDIANAPOLIS, IN 46226-1467
- **Practice address phone:** (317) 941-7474
- **Practice address fax:** (317) 941-7377
- **Mailing address:** 4164 N BUTLER AVE, INDIANAPOLIS, IN 46226-4628
- **Mailing address phone:** (317) 722-9334
- **Mailing address fax:** (317) 941-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2022
- **Last updated:** 09/07/2022