Individual
CHARLES KIRK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4346 S PINEWOOD DR, MUNCIE, IN 47302-6215
(765) 635-3826
Mailing address
4346 S PINEWOOD DR, MUNCIE, IN 47302-6215
(765) 635-3826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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