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NPI Code Detail

MEDICARE: ERASMO RODRIGUEZ ESCALANTE-BRAVO

MEDICARE: ERASMO RODRIGUEZ ESCALANTE-BRAVO
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 Technician

General Provider Information

NPI Number : 1891667358
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERASMO RODRIGUEZ ESCALANTE-BRAVO
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6635 E 21ST ST STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2252
Country : US
Telephone Number : 317-608-2824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 12/10/2025

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Directions to “ ERASMO RODRIGUEZ ESCALANTE-BRAVO ” Practice Location

Language Start Address Practice Location
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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