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NPI Code Detail

MEDICARE: HEATHER WUNDER

MEDICARE: HEATHER WUNDER
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 Analyst

General Provider Information

NPI Number : 1861207268
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER WUNDER
Provider Business Mailing Address
First Line : 1448 JUNIPER DR
Second Line :
City : SHERIDAN
State : IN
Zip : 46069-1470
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1143 E 181ST ST
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-8926
Country : US
Telephone Number : 317-480-4002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “ HEATHER WUNDER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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