Individual
BRIANNA KESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 PIDCO DR, PLYMOUTH, IN 46563-1355
(574) 387-4313
Mailing address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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