Individual
AMANDA C BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 446-4185
(855) 915-0244
Mailing address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(317) 502-3512
(855) 915-0244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-390382
IN
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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