Organization
CONDUCT CURB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN M MARTIN PHD (OWNER)
(317) 966-0538
Entity
Organization
Contact information
Practice address
3084 BROADWAY STREET, ANDERSON, IN 46012
(317) 966-0538
Mailing address
3084 BROADWAY ST, ANDERSON, IN 46012-1258
(317) 966-0538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2644
IN
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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