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NPI Code Detail

MEDICARE: BAYLEE LONG

MEDICARE:   BAYLEE  LONG
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 : 1992656581
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAYLEE LONG
Provider Business Mailing Address
First Line : 6161 HILLSIDE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-2596
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1004 W ILLINOIS ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1114
Country : US
Telephone Number : 888-717-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ BAYLEE LONG ” 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.