Provider Demographics
NPI:1346922960
Name:HECHT, SAVANNAH (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:HECHT
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5125 DECATUR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-7511
Mailing Address - Country:US
Mailing Address - Phone:317-691-0611
Mailing Address - Fax:
Practice Address - Street 1:5125 DECATUR BLVD STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-7511
Practice Address - Country:US
Practice Address - Phone:317-691-0611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-22-61937103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst