Individual
DANIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
17390 DUGDALE DR STE 100, SOUTH BEND, IN 46635-1512
(574) 400-2169
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-177918
IN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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