Individual
JEEVA JAGABANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W. 15TH ST., INDIANAPOLIS, IN 46202
(317) 274-2334
Mailing address
355 W. 15TH ST., INDIANAPOLIS, IN 46202
(317) 274-2334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
04/13/2026
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