Individual
ANIESA RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3777 HALEY DR, NEWBURGH, IN 47630-2608
(317) 249-2242
(844) 289-6798
Mailing address
550 CONGRESSIONAL BLVD STE 220, CARMEL, IN 46032-5632
(317) 249-2242
(844) 289-6798
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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