Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shine Pediatric Therapy, LLC

Organization Behavior Analyst · NPI 1659017507

Shine Pediatric Therapy, LLC is a Behavior Analyst in Indianapolis, Indiana. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8702 Founders Rd
Indianapolis, IN 46268-1337
Phone: (317) 452-9430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8741 Founders Rd, Indianapolis, IN 46268-1338 — (317) 452-9430

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1659017507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Hodge — Owner · (317) 452-9430
NPI enumeratedMay 12, 2022
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address8702 Founders Rd, Indianapolis, IN 46268-1337

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