Organization
PIECE BY PIECE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MEGHANN MITCHELL MA, BCBA (OWNER/BCBA)
(765) 430-8285
Entity
Organization
Contact information
Practice address
602 RANSDELL RD, LEBANON, IN 46052-2349
(765) 430-8285
Mailing address
6373 DUSTY LAUREL DR, WHITESTOWN, IN 46075-9727
(765) 430-8285
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-16-24128
IN
Other
Enumeration date
02/07/2018
Last updated
10/08/2018
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