Healthcare Provider Details

I. General information

NPI: 1275253759
Provider Name (Legal Business Name): IRELAND MCCASH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 DECATUR BLVD
INDIANAPOLIS IN
46241-9570
US

IV. Provider business mailing address

1058 HALIFAX LN
INDIANAPOLIS IN
46231-1876
US

V. Phone/Fax

Practice location:
  • Phone: 317-856-5201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB679381
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-172909
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: