Individual
CASEY BROSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
Mailing address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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