Individual
MEREDITH ENGLAND LABRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 BIRCHWOOD DRIVVE, LEBANON, IN 46052
(601) 519-6553
Mailing address
2255 ELIZAVILLE RD, LEBANON, IN 46052-1273
(601) 519-6553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40522
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-20-40522
—
IN
Enumeration date
04/16/2020
Last updated
04/16/2020
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