Individual
DENISE CARRIE RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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