Organization
ACHIEVE BEHAVIOR ALLIANCE PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SANDS BCBA (CO-OWNER/MANAGER)
(317) 494-8583
Entity
Organization
Contact information
Practice address
1217 OLD VINES TRL, GREENWOOD, IN 46143-3412
(317) 494-8583
Mailing address
1217 OLD VINES TRL, GREENWOOD, IN 46143-3412
(317) 494-8583
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300056345
—
IN
Enumeration date
03/25/2021
Last updated
01/14/2022
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