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SHINE PEDIATRIC THERAPY LLC NPI 1659017507


NPI Information

NPI: 1659017507
Provider Name: SHINE PEDIATRIC THERAPY, LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
8702 FOUNDERS RD
INDIANAPOLIS, IN
ZIP 46268
Phone: (317) 452-9430
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SHINE PEDIATRIC THERAPY, LLC is a behavior analyst in Indianapolis, IN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SHINE PEDIATRIC THERAPY, LLC NPI is 1659017507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8702 FOUNDERS RD
INDIANAPOLIS, IN
ZIP 46268-337
Phone: (317) 452-9430

The provider's authorized official is Courtney Hodge .
The authorized official title is Owner and has the following contact phone number (317) 452-9430.

The enumeration date for this NPI number is 5/12/2022 and was last updated on 11/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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