Individual
KEELIE NATASHA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9276 W 1025 S, FORTVILLE, IN 46040-9229
(765) 621-6670
Mailing address
9276 W 1025 S, FORTVILLE, IN 46040-9229
(765) 621-6670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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