Individual
BRITTNEE KONJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 W 84TH DR, MERRILLVILLE, IN 46410-6243
(219) 205-3463
Mailing address
3500 DEPAUW BLVD STE 3060, INDIANAPOLIS, IN 46268-6135
(317) 939-4786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-92298
IN
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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