Individual
CHRISTIAN WESLEY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
160 PLAINFIELD VILLAGE DR STE 101, PLAINFIELD, IN 46168-2782
(463) 888-0118
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(317) 939-5377
(317) 932-7880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8987
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021260
—
IN
Enumeration date
02/27/2012
Last updated
08/12/2020
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