MEDICARE: FAUSTO TOWERS MS, 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
1	103K00000X	Behavior Analyst	1-25-86449

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-25-86449	OTHER		BCBA-CERTIFICATE

General Provider Information

NPI Number	:	1275498933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAUSTO TOWERS MS, BCBA

Provider Business Mailing Address
First Line	:	3500 DEPAUW BLVD STE 3070
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-6135
Country	:	US
Telephone Number	:	855-324-0885
Fax Number	:	317-520-8200

Provider Business Practice Location Address
First Line	:	3602 E GREENWAY RD STE 102
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4648
Country	:	US
Telephone Number	:	602-560-2832
Fax Number	:	317-520-8200

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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