Individual
TARA DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 E US HIGHWAY 36 STE 630, AVON, IN 46123-9771
(888) 297-3368
Mailing address
5250 E US HIGHWAY 36 STE 630, AVON, IN 46123-9771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
04/21/2025
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