<Unavail>

LBN: Origins Developmental Llc
<Unavail> is an health care organization with primary practice located at 4118 N Clinton St , Fort Wayne IN 46805-1210. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Origins Developmental Llc can be contacted via phone (260) 483-4988, or through Shaw, Jason via phone (260) 483-4988.

Contact Information

Primary practice address
4118 N Clinton St Fort Wayne IN 46805-1210
Phone: (260) 483-4988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Jason MA, BCBA
Phone: (260) 483-4988

Health care specialties

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

Profile Details

NPI number 1952837346
LBN Legal business name Origins Developmental Llc
DBA Doing business as <Unavail>
Authorized official Shaw, Jason MA, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2017
Last updated May 4th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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