Healthcare Provider Details

I. General information

NPI: 1780498329
Provider Name (Legal Business Name): CHLOE FUSON RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 W 37TH ST STE A
ANDERSON IN
46013-4004
US

IV. Provider business mailing address

550 W 37TH ST STE A
ANDERSON IN
46013-4004
US

V. Phone/Fax

Practice location:
  • Phone: 888-454-3324
  • Fax: 888-616-1634
Mailing address:
  • Phone: 888-454-3324
  • Fax: 888-616-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90913
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: