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NPI Code Detail

MEDICARE: EDEN WEINSTEIN MED, BCBA, LBA

MEDICARE: EDEN WEINSTEIN MED, BCBA, LBA
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 TechnicianRBT-20-112879IN
2103K00000XBehavior Analyst1-23-69292IN

General Provider Information

NPI Number : 1932787967
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDEN WEINSTEIN MED, BCBA, LBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 2700 COMMERCE WAY STE 400
Second Line :
City : KAUFMAN
State : TX
Zip : 75142-7362
Country : US
Telephone Number : 469-804-6153
Fax Number : 317-334-7336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 09/09/2025

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Directions to “ EDEN WEINSTEIN MED, BCBA, LBA” Practice Location

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