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NPI Code Detail

MEDICARE: EMILY GAIL HALCOMB

MEDICARE: EMILY GAIL HALCOMB
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 Analyst1-24-75380IN

General Provider Information

NPI Number : 1487249389
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY GAIL HALCOMB
Provider Business Mailing Address
First Line : 8702 FOUNDERS RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8702 FOUNDERS RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1337
Country : US
Telephone Number : 317-452-9430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 03/09/2026

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Directions to “ EMILY GAIL HALCOMB ” Practice Location

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