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Organization
INNOVATIONS IN LEARNING, PC
Active
Organization
INNOVATIONS IN LEARNING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGET MARY HARRISON PHD, HSPP, BCBA-D (PSYCHOLOGIST/PRESIDENT)
(219) 791-1400
Entity
Organization
Contact information
Practice address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
(219) 791-1422
Mailing address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
(219) 791-1422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392066
ANTHEM BC/BS
IN
01
—
11379616
CHAQ
IN
05
—
200462360
—
IN
05
—
201001250
—
IN
Enumeration date
09/01/2006
Last updated
09/21/2023
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