Organization
BEHAVIOR SPECIALISTS OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R. SCHNEIDER (EXECUTIVE DIRECTOR)
(219) 462-6705
Entity
Organization
Contact information
Practice address
2611A CHICAGO ST, VALPARAISO, IN 46383-6111
(219) 462-6705
(219) 464-4318
Mailing address
2611A CHICAGO ST, VALPARAISO, IN 46383-6111
(219) 462-6705
(219) 464-4318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20041239
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173830A
—
IN
05
—
200447720A
—
IN
05
—
200536380
—
IN
05
—
200650880
—
IN
05
—
200717130A
—
IN
Enumeration date
05/05/2008
Last updated
05/05/2008
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