Provider Demographics
NPI:1134671035
Name:ERNSPERGER CONSULTING LLC
Entity Type:Organization
Organization Name:ERNSPERGER CONSULTING LLC
Other - Org Name:AUTISM COUNSELING & BEHAVIOR CONSULTATION, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ERNSPERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:317-538-0326
Mailing Address - Street 1:8601 FOX RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1311
Mailing Address - Country:US
Mailing Address - Phone:317-538-0326
Mailing Address - Fax:317-598-0802
Practice Address - Street 1:6515 E 82ND ST
Practice Address - Street 2:SUITE 110
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1576
Practice Address - Country:US
Practice Address - Phone:317-596-1966
Practice Address - Fax:317-598-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004338A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health