Individual
ANA SITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 N KENTUCKY AVE STE C, EVANSVILLE, IN 47725-6371
(812) 636-1533
(317) 536-3585
Mailing address
8601 N KENTUCKY AVE STE C, EVANSVILLE, IN 47725-6371
(812) 636-1533
(317) 536-3585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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