Provider Demographics
NPI:1619316973
Name:WORLAND, DEBRAH JANE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:DEBRAH
Middle Name:JANE
Last Name:WORLAND
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:DEBRAH
Other - Middle Name:JANE
Other - Last Name:KITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:5523 GLEN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-4412
Mailing Address - Country:US
Mailing Address - Phone:317-519-6692
Mailing Address - Fax:
Practice Address - Street 1:5523 GLEN CANYON DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-4412
Practice Address - Country:US
Practice Address - Phone:317-519-6692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-11-9344103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst