Individual
SUSAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(971) 294-5242
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 294-5242
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-15-6866
IN
Other
Enumeration date
11/17/2016
Last updated
01/23/2017
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