Individual
DANELL LYNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1314 N. LIBERTY CIRCLE DR W, GREENSBURG, IN 47240-4724
(812) 663-2273
(812) 663-2275
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-54516
IN
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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