| NPI | 1578093555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MAY CEO 317-794-3211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 7100401290) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TH0100X Psychologist, Health Service | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-05-09 |