| The Redwood Academy | |
|
2401 Hawthorn Pl Noblesville IN 46062-8514 | |
| (317) 450-0242 | |
| Not Available |
| Full Name | The Redwood Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2401 Hawthorn Pl, Noblesville, Indiana |
| Authorized Official Name and Position | Kelly Davisson (PRESIDENT & CO-FOUNDER) |
| Authorized Official Contact | 3172070645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Redwood Academy 2401 Hawthorn Pl Noblesville IN 46062-8514 Ph: (317) 450-0242 | The Redwood Academy 2401 Hawthorn Pl Noblesville IN 46062-8514 Ph: (317) 450-0242 |
| NPI Number | 1346960432 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346960432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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