Organization
CASTAWAY ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SUE CHUDZINSKI BCBA (OWNER)
(317) 518-5126
Entity
Organization
Contact information
Practice address
3104 E MIDLAND RD, INDIANAPOLIS, IN 46227-4583
(317) 518-5126
Mailing address
3104 E MIDLAND RD, INDIANAPOLIS, IN 46227-4583
(317) 518-5126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010638
—
IN
05
—
300032519
—
IN
Enumeration date
04/25/2022
Last updated
04/25/2022
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