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Organization

INDIANA AUTISM SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY EMMERT BCBA (BCBA / OWNER)
(765) 366-1895
Entity
Organization

Contact information

Practice address
5597 N LYE CREEK PKWY, CRAWFORDSVILLE, IN 47933-7831
(765) 366-1895
Mailing address
5597 N LYE CREEK PKWY, CRAWFORDSVILLE, IN 47933-7831

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/02/2019
Last updated
05/02/2019
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