Individual
CANDACE L ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N ILLINOIS ST STE 4, INDIANAPOLIS, IN 46208-4682
(317) 941-3370
Mailing address
3333 N ILLINOIS ST STE 4, INDIANAPOLIS, IN 46208-4682
(317) 941-3370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831171003
—
IN
Enumeration date
05/16/2022
Last updated
05/16/2022
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