Individual
JILLIAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
(260) 336-3350
Mailing address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
(260) 336-3350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-25-15862
IN
Other
Enumeration date
10/12/2021
Last updated
04/18/2025
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