Organization
ALPHABET SOUP ABA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LANHAM BCBA (OWNER)
(765) 382-8222
Entity
Organization
Contact information
Practice address
605 N WESTERN AVE, MARION, IN 46952-3403
(765) 382-8222
Mailing address
6135 AUTUMN LN, INDIANAPOLIS, IN 46220-5006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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