MEDICARE: TAILORED INTEGRATION

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1497603682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAILORED INTEGRATION

Provider Business Mailing Address
First Line	:	4342 E 39TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-4412
Country	:	US
Telephone Number	:	317-492-1960
Fax Number	:

Provider Business Practice Location Address
First Line	:	4342 E 39TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-4412
Country	:	US
Telephone Number	:	317-492-1960
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DARYEN ROBERT EVANS SCRIVENER
Credential	:
Telephone Number	:	317-492-1960

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “TAILORED INTEGRATION ” Practice Location

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