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Organization

TAILORED INTEGRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARYEN ROBERT EVANS SCRIVENER (OWNER)
(317) 492-1960
Entity
Organization

Contact information

Practice address
4342 E 39TH ST, INDIANAPOLIS, IN 46226-4412
(317) 492-1960
Mailing address
4342 E 39TH ST, INDIANAPOLIS, IN 46226-4412
(317) 492-1960

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/21/2026
Last updated
03/21/2026
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