Individual
CATHERINE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
350 MONON BLVD APT 528, CARMEL, IN 46032-2387
(917) 833-5083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-221554
IN
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/08/2020
Last updated
10/25/2022
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