MEDICARE: REACH HIGH CONSULTING AND THERAPY, LLC

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
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1053629246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH HIGH CONSULTING AND THERAPY, LLC

Provider Business Mailing Address
First Line	:	1923 S LIBERTY DR
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-5146
Country	:	US
Telephone Number	:	812-330-4460
Fax Number	:	812-330-4461

Provider Business Practice Location Address
First Line	:	1923 S LIBERTY DR
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-5146
Country	:	US
Telephone Number	:	812-330-4460
Fax Number	:	812-330-4461

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	AUDRA LAMPKINS
Credential	:
Telephone Number	:	812-606-8840

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	03/21/2025

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