Organization
AUTISM TREATMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD K WATKINS SR. (EXECUTIVE DIRECTOR)
(317) 576-8548
Entity
Organization
Contact information
Practice address
11650 LANTERN RD STE 230, FISHERS, IN 46038-3099
(317) 576-8548
Mailing address
11650 LANTERN RD STE 230, FISHERS, IN 46038-3099
(317) 576-8548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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