Individual
AVA BROSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 MAIN ST, ANDERSON, IN 46013-4233
(765) 400-4258
Mailing address
1003 S MADISON AVE, ANDERSON, IN 46016-2943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-416133
IN
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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