Individual
DAYSHIA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 S EDDY ST, SOUTH BEND, IN 46615-1148
(574) 500-6400
Mailing address
62430 LOCUST RD LOT 24, SOUTH BEND, IN 46614-9790
(574) 500-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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