Individual
MRS. MEREDITH LYN CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8402 E 116TH ST, FISHERS, IN 46038-1506
(317) 802-7447
Mailing address
10518 MADISON BROOKS DR, FISHERS, IN 46040-9419
(317) 902-4826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33041
IN
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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