Provider Demographics
NPI:1952792749
Name:AGENCY FOR PRECISION LIVING AND LEARNING LLC
Entity Type:Organization
Organization Name:AGENCY FOR PRECISION LIVING AND LEARNING LLC
Other - Org Name:PRECISION LIVING AND LEARNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WORLAND
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-519-6692
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-14
Last Update Date:2015-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1119344251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services