| Advanced Behavioral Consultation Llc | |
|
10151 N Reynard Rd Albany IN 47320-9107 | |
| (765) 283-4329 | |
| (800) 546-2329 |
| Full Name | Advanced Behavioral Consultation Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10151 N Reynard Rd, Albany, Indiana |
| Authorized Official Name and Position | Chasity Wright (PRESIDENT) |
| Authorized Official Contact | 7652834329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Consultation Llc 10151 N Reynard Rd Albany IN 47320-9107 Ph: (765) 283-4329 | Advanced Behavioral Consultation Llc 10151 N Reynard Rd Albany IN 47320-9107 Ph: (765) 283-4329 |
| NPI Number | 1326633520 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326633520 | NPI | - | NPPES |
| 1285101113 | Medicaid | IN | |
| 1003420035 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Advanced Behavioral Consultations, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10151 N Reynard Rd, Albany, IN 47320 Phone: 765-283-4329 |