Individual
CARLY MALCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 815-5501
Mailing address
1128 STERLING ST, INDIANAPOLIS, IN 46201-1111
(765) 748-9469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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