Individual
DEOSHA ANYA RENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2733 BARBARY LN APT K, INDIANAPOLIS, IN 46205-2391
(573) 230-9512
Mailing address
2733 BARBARY LN APT K, INDIANAPOLIS, IN 46205-2391
(573) 230-9512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT20-142147
IN
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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