Ican

LBN: Interdisciplinary Community Autism Network, Inc
Ican is an health care organization with primary practice located at 409 E Cook Rd Suite 100, Fort Wayne IN 46825-3600. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Interdisciplinary Community Autism Network, Inc can be contacted via phone (260) 498-9933, or through Souder, Marla Jean via phone (260) 498-9933.

Contact Information

Primary practice address
409 E Cook Rd Suite 100 Fort Wayne IN 46825-3600
Phone: (260) 498-9933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Souder, Marla Jean PSYD, HSPP
Phone: (260) 498-9933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042225A Indiana
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336579754
LBN Legal business name Interdisciplinary Community Autism Network, Inc
DBA Doing business as Ican
Authorized official Souder, Marla Jean PSYD, HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2013
Last updated Nov 21st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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