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ATLAS BEHAVIOR ANALYSIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNAN J LISTON BCBA (OWNER/CEO)
(435) 225-2103
Entity
Organization

Contact information

Practice address
11751 CHELSEA CT, FISHERS, IN 46038-1511
(435) 225-2103
Mailing address
11751 CHELSEA CT, FISHERS, IN 46038-1511
(435) 225-2103

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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