MEDICARE: FAVORABLE BEHAVIOR SUPPORT SERVICES, LLC

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	251S00000X	Community/Behavioral Health Agency		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619397981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAVORABLE BEHAVIOR SUPPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	5310 E 38TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1764
Country	:	US
Telephone Number	:	317-833-5466
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 E 38TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1764
Country	:	US
Telephone Number	:	317-833-5466
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CAMERON LAMAIN HUNT SR.
Credential	:
Telephone Number	:	317-833-5466

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	03/23/2026

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