Marlene Rosalina Agosto
Psychologist Rehabilitation Counselor Behavior Technician
2204 Duke St
Indianapolis
, Indiana 46205-2238
Marlene Rosalina Agosto
Psychologist Rehabilitation Counselor Behavior Technician
2204 Duke St
Indianapolis
, Indiana 46205-2238
(317) 675-0401
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About
Features
Specialties
- Psychologist
- Behavior Technician
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Marlene Rosalina Agosto
- 2054 Coldwater Ct
- Indianapolis, IN
- Zip : 46239-8702
- Phone : (317) 675-0401
Second Address
- Marlene Rosalina Agosto
- 2204 Duke St
- Indianapolis, IN
- Zip : 46205-2238
- Phone : (317) 675-0401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist | ||
| N | 106S00000X | Behavior Technician | ||
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1316559313 |
|---|---|
| Provider Name | Marlene Rosalina Agosto |
| First Address | Indianapolis, IN 46239-8702 |
| Second Address | Indianapolis, IN 46205-2238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2020 |
| Last Update Date | 20/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.