Individual
CORBEN HAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5915 S EMERSON AVE STE 100, INDIANAPOLIS, IN 46237-1972
(317) 567-9307
Mailing address
5915 S EMERSON AVE STE 100, INDIANAPOLIS, IN 46237-1972
(317) 567-9307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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