Organization
NEW ROOTS BEHAVIOR STRATEGIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN THOMPSON BCABA (BEHAVIOR ANALYST)
(574) 596-3155
Entity
Organization
Contact information
Practice address
13448 FULTON DRIVE, FISHERS, IN 46038
(574) 596-3155
Mailing address
13448 FULTON DRIVE, FISHERS, IN 46038
(574) 596-3155
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0-12-5015
IN
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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