Great Lakes Behavioral Services
Great Lakes Behavioral Services is a Behavior Analyst in South Bend, Indiana. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
701 N Niles AveSouth Bend, IN 46617-1923
Phone: (574) 393-9955
Fax: (574) 393-9956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1144818295 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shanti Bradley — Co-Clinical Director · (574) 393-9955 |
| NPI enumerated | January 5, 2021 |
| Last updated in NPPES | June 28, 2021 |
| Certification date | June 28, 2021 |
| Mailing address | 701 N Niles Ave Ste Op102, South Bend, IN 46617-1923 |
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