Individual
BRANDI DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4410 EXECUTIVE BLVD, FORT WAYNE, IN 46808-1135
(888) 515-1793
(502) 297-0289
Mailing address
11401 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2349
(888) 515-1793
(502) 297-0289
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-212088
IN
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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