Individual
BROOKE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1314 N LIBERTY CIR E, GREENSBURG, IN 47240-6647
(812) 663-2273
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-172403
IN
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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