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NPI Code Detail

MEDICARE: JALANE EMBERTON

MEDICARE: JALANE EMBERTON
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 Technician21183351IN
2106E00000XAssistant Behavior Analyst0-26-17058IN

General Provider Information

NPI Number : 1780481465
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALANE EMBERTON
Provider Business Mailing Address
First Line : 5155 PENNWOOD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1585
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5155 PENNWOOD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1585
Country : US
Telephone Number : 317-571-1042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 04/14/2026

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Directions to “ JALANE EMBERTON ” Practice Location

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