Organization
BEHAVIOR ANALYSIS CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY WATKINS (INSURANCE ADMINISTRATOR)
(317) 576-8548
Entity
Organization
Contact information
Practice address
11902 LAKESIDE DR, FISHERS, IN 46038-1308
(317) 288-5232
(317) 288-5229
Mailing address
11902 LAKESIDE DR, FISHERS, IN 46038-1308
(317) 288-5232
(317) 288-5229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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