Organization
ROOTED ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA SURVIL (CO-FOUNDER)
(812) 929-2212
Entity
Organization
Contact information
Practice address
2921 N DUNN ST, BLOOMINGTON, IN 47408-1055
(812) 929-2212
Mailing address
2921 N DUNN ST, BLOOMINGTON, IN 47408-1055
(812) 929-2212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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