MEDICARE: FARAH FARID SYNTHIA

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	106S00000X	Behavior Technician		IN

General Provider Information

NPI Number	:	1700762267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH FARID SYNTHIA

Provider Business Mailing Address
First Line	:	1310 N KEALING AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-1504
Country	:	US
Telephone Number	:	470-981-7026
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 ANTILLES LN
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-5639
Country	:	US
Telephone Number	:	470-981-7026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	12/15/2025

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Directions to “ FARAH FARID SYNTHIA ” Practice Location

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