Provider Demographics
NPI:1336538362
Name:BEHAVIOR SOLUTIONS OF INDIANA
Entity Type:Organization
Organization Name:BEHAVIOR SOLUTIONS OF INDIANA
Other - Org Name:ARCHER AND ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RBC
Authorized Official - Phone:317-371-7315
Mailing Address - Street 1:10588 MADISON BROOKS DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-9421
Mailing Address - Country:US
Mailing Address - Phone:317-371-7315
Mailing Address - Fax:
Practice Address - Street 1:10588 MADISON BROOKS DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46040-9421
Practice Address - Country:US
Practice Address - Phone:317-371-7315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCHER AND ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health