Individual
COURTNEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 E 146TH ST, NOBLESVILLE, IN 46060-4310
(317) 690-4080
Mailing address
9155 E 146TH ST, NOBLESVILLE, IN 46060-4310
(317) 690-4080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81490
IN
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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