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NPI Code Detail

MEDICARE: NODERLINE VALCIN

MEDICARE: NODERLINE VALCIN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1609730423
Entity Type Code : Individual
Provider Name (Legal Business Name) : NODERLINE VALCIN
Provider Business Mailing Address
First Line : 11979 FISHERS CROSSING DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-2778
Country : US
Telephone Number : 317-918-2689
Fax Number :
Provider Business Practice Location Address
First Line : 902 E MARKET ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3825
Country : US
Telephone Number : 317-918-2689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 06/08/2026

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Directions to “ NODERLINE VALCIN ” Practice Location

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