Provider Demographics
NPI:1497543268
Name:PRARAT, DASCHA
Entity type:Individual
Prefix:
First Name:DASCHA
Middle Name:
Last Name:PRARAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-1247
Mailing Address - Country:US
Mailing Address - Phone:812-933-7284
Mailing Address - Fax:
Practice Address - Street 1:3130 STATE LINE RD
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OH
Practice Address - Zip Code:45052-9731
Practice Address - Country:US
Practice Address - Phone:765-580-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician