Individual
DANIELLE JEAN BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 FALLS DR, FORT WAYNE, IN 46804-7147
(260) 702-9898
Mailing address
714 COMMERCIAL ST, ROANOKE, IN 46783-1050
(260) 248-0390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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