Individual
TAELYR RENEE BRUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
120 W JACKSON ST, SHELBYVILLE, IN 46176-1295
(317) 512-2101
Mailing address
530 HICKORY DR, HANOVER, IN 47243-9451
(812) 818-0735
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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