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NPI Code Detail

MEDICARE: MADISON BAIN NEWMAN BCBA

MEDICARE: MADISON BAIN NEWMAN BCBA
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 Analyst1-18-33103

General Provider Information

NPI Number : 1952873119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON BAIN NEWMAN BCBA
Provider Business Mailing Address
First Line : 6540 W 400 N
Second Line :
City : ARLINGTON
State : IN
Zip : 46104-9418
Country : US
Telephone Number : 317-441-0249
Fax Number :
Provider Business Practice Location Address
First Line : 307 N MAIN ST
Second Line :
City : RUSHVILLE
State : IN
Zip : 46173-1635
Country : US
Telephone Number : 463-222-7945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/31/2024

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Directions to “ MADISON BAIN NEWMAN BCBA” Practice Location

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