MOBILE THERAPY CENTERS OF INDIANA, LLC


Address: 4170 Washington Blvd, Indianapolis, IN 46205-2617
Phone: 8478167200

MOBILE THERAPY CENTERS OF INDIANA, LLC (NPI# 1497371694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497371694
Entity Type Organization
Organization Name MOBILE THERAPY CENTERS OF INDIANA, LLC
Practice Address 4170 Washington Blvd
Indianapolis
IN 46205-2617
Mailing Address 854 Technology Way
Libertyville
IL 60048
Practice Telephone 8478167200
Mailing Telephone 8478167200
Mailing Fax Number 8478167210
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Authorized Official Name JILL SEPULVEDA (OFFICE MANAGER)
Authorized Official Telephone 8478167200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 4170 WASHINGTON BLVD
City INDIANAPOLIS
State IN
Zip Code 46205-2617

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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1417572272 Hannah Jossen Ferrill Behavioral Analyst 6635 East 21st Street West Building, Indianapolis, IN 46219-2254 2020-06-08
1184251001 Hope Transitional Services LLC Behavioral Analyst 7830 Palawan Way Apt A, Indianapolis, IN 46239-2212 2020-03-23
1124679832 Kelsey Jean Lindberg Behavioral Analyst 1722 W 16th St, Indianapolis, IN 46202-2031 2019-09-24
1700430956 Jack Graves Behavioral Analyst 1402 Olive St, Indianapolis, IN 46203-1928 2019-07-26
1831751205 Healthy Options LLC Behavioral Analyst 10162 Sedgehill Dr, Indianapolis, IN 46239-9762 2019-07-05
1447818091 Mindful and Modern Methods for Aba, Inc Behavioral Analyst 7507 Michigan Rd, Indianapolis, IN 46268-2321 2019-05-30
1952967630 Ashli Nichole Degenfelder Behavioral Analyst 1389 W 86th St # 170, Indianapolis, IN 46260-2101 2019-05-17
1629540869 E Behavior Solutions LLC Behavioral Analyst 4515 Chatham Pl, Indianapolis, IN 46226-3236 2018-12-28
1689158933 Reynolds Family Solutions Behavioral Analyst 5051 Greenside Dr, Indianapolis, IN 46235-6140 2018-09-23
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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