Individual
MAEGGAN HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3464 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 233-8882
Mailing address
5556 N MERIDIAN ST, INDIANAPOLIS, IN 46208-2658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28590
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011454
—
IN
Enumeration date
12/27/2017
Last updated
06/28/2019
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