Basic Information
| Provider Information | |||||||||
| NPI: | 1285085977 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | VERONICA | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7405 WESTFIELD BLVD | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462403056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179182689 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1201 GOLFVIEW DR | ||||||||
| Address2: | APT F | ||||||||
| City: | CARMEL | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460324727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179375191 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2016 | ||||||||
| LastUpdateDate: | 08/18/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-16-22488 | IN | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.