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NPI Code Detail

MEDICARE: ADAGIO LIGGIN M.S., BCBA

MEDICARE: ADAGIO LIGGIN M.S., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-21-56184IN

General Provider Information

NPI Number : 1013682251
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAGIO LIGGIN M.S., BCBA
Provider Business Mailing Address
First Line : 5658 BUCK POND CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5505 N POST RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46216-1000
Country : US
Telephone Number : 855-772-8847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 07/14/2025

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