Provider Demographics
NPI:1891340782
Name:NIEMEIER, ABIGAIL ELAINE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELAINE
Last Name:NIEMEIER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ELAINE
Other - Last Name:MANSKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, BCBA
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 1:4655 ROSEBUD LN
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9366
Practice Address - Country:US
Practice Address - Phone:812-213-8031
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-20-41495103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-20-41495OtherBCBA CERTIFICATE