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NPI Code Detail

MEDICARE: MRS. VICTORIA GENEVIEVE HAMMOND BCBA

MEDICARE: MRS. VICTORIA GENEVIEVE HAMMOND BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-21-56670IN
2106S00000XBehavior TechnicianRBT-19-102623IN

General Provider Information

NPI Number : 1457972531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA GENEVIEVE HAMMOND BCBA
Provider Business Mailing Address
First Line : 8350 CRAIG ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-3593
Country : US
Telephone Number : 317-578-0410
Fax Number :
Provider Business Practice Location Address
First Line : 8350 CRAIG ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-3593
Country : US
Telephone Number : 317-578-0410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2020
Last Update Date : 01/22/2026

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