Individual
DESIREE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W PLEASANT ST, CHURUBUSCO, IN 46723-2104
(260) 452-0553
Mailing address
414 W PLEASANT ST, CHURUBUSCO, IN 46723-2104
(260) 452-0553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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