Organization
ESSENTIAL ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HATCHER BCBA (DIRECTOR)
(317) 677-6198
Entity
Organization
Contact information
Practice address
1375 E MORGAN ST, MARTINSVILLE, IN 46151-5802
(317) 677-6198
Mailing address
1375 E MORGAN ST, MARTINSVILLE, IN 46151-5802
(317) 677-6198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030587
—
IN
Enumeration date
06/07/2019
Last updated
06/26/2020
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