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General NPI Number Information
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NPI Number | 1770970576
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Entity Type | Organization
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Legal Business Name | ADAPTIVE COMMUNITY SUPPORT SERVICES INC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 3216 BALLARD LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-7200
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Country | US
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Telephone | 812-590-2157
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Fax | 800-990-2526
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Provider Business Mailing Address
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Address Line | 3006 EASTPOINT PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40223-4185
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Country | US
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Telephone | 502-795-0773
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Fax | 800-990-2526
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGEMENT DIRECTOR
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Name | JULIA PELKINGTON
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Credential |
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Telephone | 317-746-5391
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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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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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