Individual
CHANDLER ELAINE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8888 KEYSTONE XING, INDIANAPOLIS, IN 46240-4609
(317) 676-4700
Mailing address
8888 KEYSTONE XING, INDIANAPOLIS, IN 46240-4609
(317) 676-4700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102752
IN
Other
Enumeration date
12/19/2023
Last updated
01/29/2025
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