Provider Demographics
NPI:1659577591
Name:ANDREW J. BROWN ACADEMY
Entity Type:Organization
Organization Name:ANDREW J. BROWN ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-891-0730
Mailing Address - Street 1:3600 N GERMAN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8504
Mailing Address - Country:US
Mailing Address - Phone:317-891-0730
Mailing Address - Fax:317-891-0908
Practice Address - Street 1:3600 N GERMAN CHURCH RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-8504
Practice Address - Country:US
Practice Address - Phone:317-891-0730
Practice Address - Fax:317-891-0908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN5488251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)