Organization
INDY SUPERB ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE SANDERS (CEO)
(317) 722-9334
Entity
Organization
Contact information
Practice address
5435 EMERSON WAY STE 404, INDIANAPOLIS, IN 46226-1467
(317) 941-7474
(317) 941-7377
Mailing address
4164 N BUTLER AVE, INDIANAPOLIS, IN 46226-4628
(317) 722-9334
(317) 941-7377
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
09/02/2022
Last updated
09/07/2022
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