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NPI Code Detail

MEDICARE: SARAH HENDRICKS

MEDICARE: SARAH HENDRICKS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1730729401
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HENDRICKS
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 317-449-2104
Fax Number :
Provider Business Practice Location Address
First Line : 2222 POSHARD DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-1843
Country : US
Telephone Number : 812-302-4750
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 01/10/2020

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Directions to “ SARAH HENDRICKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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