Benedum, Andrew Michael

Benedum, Andrew Michael is an individual health care provider with primary practice located at 450 S Landmark Ave , Bloomington IN 47403-5000. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Benedum, Andrew Michael can be contacted via phone (855) 324-0885.

Contact Information

Primary practice address
450 S Landmark Ave Bloomington IN 47403-5000
Phone: (855) 324-0885
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-184787 Indiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-57664 Indiana

Profile Details

NPI number 1508536418
LBN Legal business name Benedum, Andrew Michael
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Feb 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508536418 NPPES
Indiana Other 1-22-57664 BOARD CERTIFIED BEHAVIOR ANALYST

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