Healthcare Provider Details

I. General information

NPI: 1376285585
Provider Name (Legal Business Name): HADLEIGH BROWN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 W US HIGHWAY 52
NEW PALESTINE IN
46163-8950
US

IV. Provider business mailing address

7375 W US HIGHWAY 52
NEW PALESTINE IN
46163-8950
US

V. Phone/Fax

Practice location:
  • Phone: 812-302-2538
  • Fax: 317-978-2703
Mailing address:
  • Phone: 812-302-2538
  • Fax: 179-782-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-22-210969
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: