Provider Demographics
NPI:1407976269
Name:VERBAL BEHAVIOR CENTER FOR AUTISM
Entity Type:Organization
Organization Name:VERBAL BEHAVIOR CENTER FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-848-4774
Mailing Address - Street 1:9830 BAUER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1972
Mailing Address - Country:US
Mailing Address - Phone:317-848-4774
Mailing Address - Fax:317-848-2862
Practice Address - Street 1:9830 BAUER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-1972
Practice Address - Country:US
Practice Address - Phone:317-848-4774
Practice Address - Fax:317-848-2862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty