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General NPI Number Information
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NPI Number | 1619769510
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Entity Type | Organization
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Legal Business Name | SKY CARE ABA INDIANA LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 155 E MARKET ST FL 7
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3294
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Country | US
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Telephone | 844-390-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 AVE OF THE STATES STE 306
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4791
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. SARA SCHER
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Credential |
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Telephone | 800-604-2273
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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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