Organization
SUPPORTIVE COMMUNITY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR F KRUGGEL IV MS, BCBA (OWNER)
(812) 322-0313
Entity
Organization
Contact information
Practice address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/15/2016
Last updated
07/24/2020
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