Organization
CIRCLE CITY ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JAY COCHRANE (VICE PRESIDENT OF STRATEGIC DEV.)
(317) 502-3512
Entity
Organization
Contact information
Practice address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 446-4185
(855) 915-0244
Mailing address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(317) 502-3512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
06/13/2022
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