| Renew Behavior Services LLC | |
|
524 N Elm St Seymour IN 47274-1902 | |
| (812) 569-4884 | |
| Not Available |
| Full Name | Renew Behavior Services LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 524 N Elm St, Seymour, Indiana |
| Authorized Official Name and Position | Michelle Hickman (OWNER/BCBA) |
| Authorized Official Contact | 8125694884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Behavior Services LLC 524 N Elm St Seymour IN 47274-1902 Ph: (812) 569-4884 | Renew Behavior Services LLC 524 N Elm St Seymour IN 47274-1902 Ph: (812) 569-4884 |
| NPI Number | 1801443858 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 08/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801443858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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