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General NPI Number Information
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NPI Number | 1053103390
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Entity Type | Organization
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Legal Business Name | SUNRISE BEHAVIORAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 13997 AVALON EAST DR
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City | FISHERS
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State | IN
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Zip | 46037-6211
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Country | US
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Telephone | 317-868-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 13997 AVALON EAST DR
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City | FISHERS
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State | IN
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Zip | 46037-6211
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Country | US
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Telephone | 317-868-6651
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | HEATHER WIAND
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Credential | MA, BCBA, LBA
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Telephone | 317-868-6651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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