Individual
STEPHEN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46017
IN
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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