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Individual

BRIANNA M MCGOOKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
23426 US HIGHWAY 33, ELKHART, IN 46517-3600
(574) 387-4313
Mailing address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
(574) 387-4313

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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