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Individual

DEANDRA PLEASANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 E RUDISILL BLVD STE B100, FORT WAYNE, IN 46806-1738
(260) 255-3665
Mailing address
201 E RUDISILL BLVD STE B100, FORT WAYNE, IN 46806-1738
(260) 255-3665

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-212775
IN

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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