MEDICARE: LEXY SILVA HALPEN BCBA 1-21-49956

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	1-21-49956
2	106S00000X	Behavior Technician	17-40617

General Provider Information

NPI Number	:	1386132546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXY SILVA HALPEN BCBA 1-21-49956

Provider Business Mailing Address
First Line	:	3225 N ARSENAL AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 N ARSENAL AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1924
Country	:	US
Telephone Number	:	317-759-4710
Fax Number	:

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

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	11/19/2025

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