NPI 1013373562

Alicia Jaclyn White, BCBA

Practitioner Behavior Analyst South Bend, IN

Practice location

Address: 17390 Dugdale Drive, South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (765) 450-6664
Mailing address: 3500 Depauw Boulevard Suite 3070, Indianapolis, IN 46268-6135

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Indiana →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-15-21144 (IN)

Registry record

NPI: 1013373562
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2016
Record last updated: 14 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.