Provider Demographics
NPI:1528568540
Name:ADAMS, MARGARET DENISE (MED, BCBA, LBA)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:DENISE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:9559 HIGHWAY 5 STE 601
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1572
Practice Address - Country:US
Practice Address - Phone:470-632-5276
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12046398103K00000X
GA1-20-46398103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst