| NPI | 1861763054 | 
|---|---|
| Former Legal Business Name | THE INDIANA INSTITUTE FOR BEHAVIOR ANALYSIS, LLC | 
| Entity Type | Organization | 
| Authorized Contact | ANGELICA N GRAY CEO 317-388-8131 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 1-11-8855) | 
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech | 
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2012-01-19 | 
| Last Update Date | 2020-12-18 |