Haase, Maeggan

Haase, Maeggan is an individual health care provider with primary practice located at 3464 S 4Th St , Terre Haute IN 47802-4168. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Haase, Maeggan can be contacted via phone (812) 233-8882.

Contact Information

Primary practice address
3464 S 4Th St Terre Haute IN 47802-4168
Phone: (812) 233-8882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-28590 Indiana

Profile Details

NPI number 1912413048
LBN Legal business name Haase, Maeggan
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2017
Last updated Jun 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912413048 NPPES
Indiana MEDICAID 300011454

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