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NPI Code Detail

MEDICARE: MINDFUL AND MODERN METHODS FOR ABA, INC

MEDICARE: MINDFUL AND MODERN METHODS FOR ABA, INC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1447818091
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDFUL AND MODERN METHODS FOR ABA, INC
Provider Business Mailing Address
First Line : 7507 MICHIGAN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7507 MICHIGAN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2321
Country : US
Telephone Number : 317-696-3700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VIVIAN CAIN
Credential :
Telephone Number : 317-892-9632
Provider Enumeration Date : 05/30/2019
Last Update Date : 01/24/2025

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