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Organization

SHAPE BEHAVIOR SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA M IMGRUND MA, BCBA, LBA (PARTNER)
(630) 240-4437
Entity
Organization

Contact information

Practice address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
(630) 240-4437
Mailing address
1389 W 86TH ST # 177, INDIANAPOLIS, IN 46260-2101

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/20/2021
Last updated
02/21/2022
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