Individual
ANDRELL PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 MAIN ST, ANDERSON, IN 46013-4233
(765) 400-4258
Mailing address
819 S MADISON ST, MUNCIE, IN 47302-2444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445455
IN
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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