Individual
DANIELLE BRASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
(812) 287-8561
Mailing address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49347
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/14/2018
Last updated
10/19/2022
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