MEDICARE: GOLDER AMA ASARE

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		IN

General Provider Information

NPI Number	:	1063356988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOLDER AMA ASARE

Provider Business Mailing Address
First Line	:	2325 SILVER ROSE DR
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-6004
Country	:	US
Telephone Number	:	317-460-7372
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 E NORTHFIELD DR STE 100
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-2415
Country	:	US
Telephone Number	:	317-742-9025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ GOLDER AMA ASARE ” Practice Location

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