Basic Information
| Provider Information | |||||||||
| NPI: | 1316464696 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BIERMAN ABA, INC. | ||||||||
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| OtherOrganizationName: | BIERMAN ABA AUTISM CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6060 N COLLEGE AVE | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462201907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175845166 | ||||||||
| FaxNumber: | 3172883396 | ||||||||
| Practice Location | |||||||||
| Address1: | 145 ROSEMARY ST STE K1 | ||||||||
| Address2: | |||||||||
| City: | NEEDHAM HEIGHTS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024943259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7814002482 | ||||||||
| FaxNumber: | 3172883396 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2017 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | PARHAM | ||||||||
| AuthorizedOfficialFirstName: | JONATHON | ||||||||
| AuthorizedOfficialMiddleName: | ERIC | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF INSURANCE | ||||||||
| AuthorizedOfficialTelephone: | 3175845166 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.