Individual
BRANDI MACKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9165 OTIS AVE STE 221, INDIANAPOLIS, IN 46216-2316
(888) 515-1793
Mailing address
11401 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2349
(888) 515-1793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-304151
IN
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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