MEDICARE: VIVIAN JEANNE VREEMAN RBT

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	:	1841148657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN JEANNE VREEMAN RBT

Provider Business Mailing Address
First Line	:	13476 SHAKAMAC DR
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-9594
Country	:	US
Telephone Number	:	317-489-7620
Fax Number	:

Provider Business Practice Location Address
First Line	:	7208 DOBSON INDIANAPOLIS
Second Line	:
City	:	IN
State	:	IN
Zip	:	46268
Country	:	US
Telephone Number	:	317-654-6806
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/20/2026

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