Individual
HILARY HEADING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30380 COUNTY ROAD 6, ELKHART, IN 46514-9514
(317) 436-8961
Mailing address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
(317) 991-1593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19055
BCBA
MI
Enumeration date
07/30/2015
Last updated
07/10/2019
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