Healthcare Provider Details

I. General information

NPI: 1801727516
Provider Name (Legal Business Name): CATHRYN WARNER CSPR-PR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S MERIDIAN ST STE 200
INDIANAPOLIS IN
46204-3537
US

IV. Provider business mailing address

6844 BONNY DR
INDIANAPOLIS IN
46221-9600
US

V. Phone/Fax

Practice location:
  • Phone: 317-936-3859
  • Fax:
Mailing address:
  • Phone: 317-603-6119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: