Individual
LAUREN T PARZIANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W DEPOY DR, COLUMBIA CITY, IN 46725-8459
(260) 459-6040
Mailing address
6131 N CLINTON ST, FORT WAYNE, IN 46825-4905
(260) 459-6040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39159
IN
106S00000X
Behavior Technician
RBT-18-70205
MI
Other
Enumeration date
04/25/2019
Last updated
02/18/2020
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