Individual
CALLIE ANNE GARTENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4 S PARK AVE STE 270-G, BATESVILLE, IN 47006-1247
(812) 663-2273
(812) 663-2275
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
(765) 450-6453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17736
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010170
—
IN
Enumeration date
01/06/2015
Last updated
08/08/2024
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