Individual
CAMERON BRYAN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9905 FALL CREEK RD, INDIANAPOLIS, IN 46256-4804
(317) 813-4690
Mailing address
6535 DERBYSHIRE RD, INDIANAPOLIS, IN 46227-4931
(601) 562-9192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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