Organization
THE REDWOOD ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DAVISSON (PRESIDENT & CO-FOUNDER)
(317) 207-0645
Entity
Organization
Contact information
Practice address
2401 HAWTHORN PL, NOBLESVILLE, IN 46062-8514
(317) 450-0242
Mailing address
2401 HAWTHORN PL, NOBLESVILLE, IN 46062-8514
(317) 450-0242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/30/2022
Last updated
10/31/2022
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