Healthcare Provider Details

I. General information

NPI: 1740525021
Provider Name (Legal Business Name): KAREN M MERKEL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 E 88TH ST
INDIANAPOLIS IN
46256-1235
US

IV. Provider business mailing address

7901 E 88TH ST
INDIANAPOLIS IN
46256-1235
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-5437
  • Fax: 317-842-5911
Mailing address:
  • Phone: 317-849-5437
  • Fax: 317-842-5911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: