Healthcare Provider Details
I. General information
NPI: 1174427298
Provider Name (Legal Business Name): CORNELIUS EDUCATIONAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6186 RALSTON AVE
INDIANAPOLIS IN
46220-2356
US
IV. Provider business mailing address
6186 RALSTON AVE
INDIANAPOLIS IN
46220-2356
US
V. Phone/Fax
- Phone: 317-361-9966
- Fax:
- Phone: 317-361-9966
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SHEILA
CORNELIUS
Title or Position: FOUNDER
Credential: MA, BCBA, LBA
Phone: 317-361-9966