| Indiana Autism Services, Llc | |
|
5597 N Lye Creek Pkwy Crawfordsville IN 47933-7831 | |
| (765) 366-1895 | |
| Not Available |
| Full Name | Indiana Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5597 N Lye Creek Pkwy, Crawfordsville, Indiana |
| Authorized Official Name and Position | Stacey Emmert (BCBA / OWNER) |
| Authorized Official Contact | 7653661895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Autism Services, Llc 5597 N Lye Creek Pkwy Crawfordsville IN 47933-7831 Ph: () - | Indiana Autism Services, Llc 5597 N Lye Creek Pkwy Crawfordsville IN 47933-7831 Ph: (765) 366-1895 |
| NPI Number | 1831754159 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831754159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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