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General NPI Number Information
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NPI Number | 1457126716
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Entity Type | Organization
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Legal Business Name | COLORFUL HORIZONS, LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 8383 CRAIG ST STE 325
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-3541
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Country | US
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Telephone | 317-207-7086
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Fax |
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Provider Business Mailing Address
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Address Line | 8383 CRAIG ST STE 325
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-3541
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Country | US
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Telephone | 317-207-7086
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | HANNA BOUCHER
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Credential |
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Telephone | 765-667-5715
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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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