Individual
JAMES ROSS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3781 BAYLEY DR STE B, LAFAYETTE, IN 47905-8657
(765) 201-4767
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57572
IN
106S00000X
Behavior Technician
RBT-19-76423
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-57572
BEHAVIOR ANALYST CERTIFICATION BOARD
IN
Enumeration date
09/03/2020
Last updated
02/02/2022
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