Healthcare Provider Details

I. General information

NPI: 1841914421
Provider Name (Legal Business Name): STEPHEN BOHNEY MA, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201N N ILLINOIS ST # 16SOUTH
INDIANAPOLIS IN
46204-1948
US

IV. Provider business mailing address

7439 ANGUS WAY
INDIANAPOLIS IN
46217-5570
US

V. Phone/Fax

Practice location:
  • Phone: 317-537-0987
  • Fax: 855-892-0299
Mailing address:
  • Phone: 317-508-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number95001503A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: