Individual
MRS. JENNIFER ELLEN GOODMAN BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
315 E NORTH DR, BLOOMINGTON, IN 47401-6555
(812) 330-7700
Mailing address
315 E NORTH DR, BLOOMINGTON, IN 47401-6595
(812) 330-7700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9581
CO
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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