Provider Demographics
NPI:1033502075
Name:MEDLER, APRIL (BCBA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:MEDLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 FIELDS WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-7753
Mailing Address - Country:US
Mailing Address - Phone:317-966-0200
Mailing Address - Fax:317-522-1956
Practice Address - Street 1:7251 FIELDS WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-7753
Practice Address - Country:US
Practice Address - Phone:317-966-0200
Practice Address - Fax:317-522-1956
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003688A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist