Individual
DIAMOND ELIZABETH IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1440 E 46TH ST, INDIANAPOLIS, IN 46205-2021
(317) 918-2689
Mailing address
521 STONELEIGH CT, INDIANAPOLIS, IN 46231-2575
(317) 450-1616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72734
IN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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