| Circle City Aba | |
|
2785 Cason St Lafayette IN 47904-2843 | |
| (765) 446-4185 | |
| (855) 915-0244 |
| Full Name | Circle City Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2785 Cason St, Lafayette, Indiana |
| Authorized Official Name and Position | William Jay Cochrane (VICE PRESIDENT OF STRATEGIC DEV.) |
| Authorized Official Contact | 3175023512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle City Aba 2785 Cason St Lafayette IN 47904-2843 Ph: (317) 502-3512 | Circle City Aba 2785 Cason St Lafayette IN 47904-2843 Ph: (765) 446-4185 |
| NPI Number | 1235676990 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235676990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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