Graves, Jack

Graves, Jack is an sole proprietor health care provider with primary practice located at 1402 Olive St , Indianapolis IN 46203-1928. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Graves, Jack can be contacted via phone (812) 205-9219.

Contact Information

Primary practice address
1402 Olive St Indianapolis IN 46203-1928
Phone: (812) 205-9219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB365678 Indiana

Profile Details

NPI number 1700430956
LBN Legal business name Graves, Jack
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2019
Last updated Jul 26th, 2019 - about 7 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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