Organization
GUIDANCE PEDIATRICS AND AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA PETROWSKI (OWNER)
(812) 239-6293
Entity
Organization
Contact information
Practice address
6657 W COUNTY ROAD 900 N, BRAZIL, IN 47834-7952
(812) 239-6293
Mailing address
8465 KEYSTONE CROSSING, SUITE 115 #1201, INDIANAPOLIS, IN 46240
(812) 239-6293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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