Shape Behavioral Services Llc - Mental Health Clinic in Bloomington, IN

Shape Behavioral Services Llc is a mental health clinic (Behavior Analyst) in Bloomington, Indiana. The current practice location for Shape Behavioral Services Llc is 107 South Indiana Ave, Bloomington, Indiana. For appointments, you can reach them via phone at (423) 281-4333. The mailing address for Shape Behavioral Services Llc is 722 S Liberty St Ste 218, Muncie, Indiana and phone number is (423) 281-4333.

Shape Behavioral Services Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1932867322. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (423) 281-4333.

Contact Information

Shape Behavioral Services Llc
107 South Indiana Ave
Bloomington
IN 47405
(423) 281-4333
Not Available

Mental Health Clinic Profile

Full NameShape Behavioral Services Llc
SpecialityBehavior Analyst
Location107 South Indiana Ave, Bloomington, Indiana
Authorized Official Name and PositionAlex Kiss (DIRECTOR)
Authorized Official Contact4232814333
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shape Behavioral Services Llc
722 S Liberty St Ste 218
Muncie
IN 47305-2346

Ph: (423) 281-4333
Shape Behavioral Services Llc
107 South Indiana Ave
Bloomington
IN 47405

Ph: (423) 281-4333

NPI Details:

NPI Number1932867322
Provider Enumeration Date12/02/2021
Last Update Date06/05/2023
Certification Date06/05/2023

Medical Identifiers

Medical identifiers for Shape Behavioral Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932867322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Primary
106E00000XAssistant Behavior Analyst (* (Not Available))Secondary
106S00000XBehavior Technician (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

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› Verified 4 days ago

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