Healthcare Provider Details

I. General information

NPI: 1962118869
Provider Name (Legal Business Name): BIERMAN BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16414 SOUTHPARK DR
WESTFIELD IN
46074-8396
US

IV. Provider business mailing address

16414 SOUTHPARK DR
WESTFIELD IN
46074-8396
US

V. Phone/Fax

Practice location:
  • Phone: 317-815-5501
  • Fax: 317-815-3861
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY AGARWAL
Title or Position: PRESIDENT
Credential: BCBA
Phone: 317-507-2216