Individual
AUDREY R KUSBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
7541 GOLFWAY CT, HAMMOND, IN 46324-3144
(219) 670-0771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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