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NPI Code Detail

MEDICARE: NATALIE RECORDS BCBA

MEDICARE: NATALIE RECORDS 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 Analyst1118286IN

General Provider Information

NPI Number : 1730526625
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE RECORDS BCBA
Provider Business Mailing Address
First Line : 2630 S ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5701
Country : US
Telephone Number : 812-360-3050
Fax Number : 317-522-1956
Provider Business Practice Location Address
First Line : 2630 S ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5701
Country : US
Telephone Number : 812-360-3050
Fax Number : 317-522-1956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2013
Last Update Date : 03/10/2020

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