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NPI Code Detail

MEDICARE: MISS CARRIE LYNETTE SPEHEGER BCBA

MEDICARE: MISS CARRIE LYNETTE SPEHEGER BCBA
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 Analyst1-14-15898IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-14-15898OTHERBOARD CERTIFICATION

General Provider Information

NPI Number : 1649699877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CARRIE LYNETTE SPEHEGER BCBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 765-450-6664
Provider Business Practice Location Address
First Line : 3771 S A ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6053
Country : US
Telephone Number : 765-598-4197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 12/18/2025

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Directions to “ MISS CARRIE LYNETTE SPEHEGER BCBA” Practice Location

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