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Individual

ANASTASIA DEFERBRACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
53779 GENERATIONS DR STE C, SOUTH BEND, IN 46635-1576
(219) 359-3272
Mailing address
442 SAND CREEK DR STE 101, CHESTERTON, IN 46304-1596

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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