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NPI Code Detail

MEDICARE: AKACIA DARNELL

MEDICARE: AKACIA DARNELL
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 TechnicianRBT-22-242574IN
2103K00000XBehavior AnalystIN

General Provider Information

NPI Number : 1154126530
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKACIA DARNELL
Provider Business Mailing Address
First Line : 215 RED COACH DR
Second Line :
City : MISHAWAKA
State : IN
Zip : 46545-8307
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Provider Business Practice Location Address
First Line : 1550 PIDCO DR
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1355
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 03/11/2026

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Directions to “ AKACIA DARNELL ” Practice Location

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