Provider Demographics
NPI:1366052060
Name:SPRINGWOOD ACADEMY INC
Entity type:Organization
Organization Name:SPRINGWOOD ACADEMY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-503-1296
Mailing Address - Street 1:12354 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5807
Mailing Address - Country:US
Mailing Address - Phone:317-503-1296
Mailing Address - Fax:317-810-1439
Practice Address - Street 1:12354 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5807
Practice Address - Country:US
Practice Address - Phone:317-503-1296
Practice Address - Fax:317-810-1439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty