Individual
COURTNEY PINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3464 S 4TH ST, TERRE HAUTE, IN 47802-4168
(317) 334-7331
(317) 334-7334
Mailing address
8646 GUION RD, INDIANAPOLIS, IN 46268-3011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33070
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021766
—
IN
Enumeration date
06/14/2016
Last updated
06/28/2019
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