Organization
ALL KIDS CAN THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE OVERPECK (OWNER)
(812) 265-8226
Entity
Organization
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992650
—
IN
Enumeration date
06/15/2018
Last updated
06/15/2018
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