Provider Demographics
NPI:1285085977
Name:ROBINSON, VERONICA (BCBA)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 WESTFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3056
Mailing Address - Country:US
Mailing Address - Phone:317-918-2689
Mailing Address - Fax:
Practice Address - Street 1:1201 GOLFVIEW DR
Practice Address - Street 2:APT F
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4727
Practice Address - Country:US
Practice Address - Phone:317-937-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-16-22488103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst