Individual
CARSON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 755-4049
Mailing address
1708 NORTHWOOD CT, VALPARAISO, IN 46383-5129
(630) 636-8232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60212
IN
106E00000X
Assistant Behavior Analyst
0-22-13505
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/29/2020
Last updated
06/30/2022
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