Individual
ADDISON GERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-2000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/05/2018
Last updated
10/20/2021
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