Individual
KRISTEN WIPPERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 E SOUTHERN AVE, INDIANAPOLIS, IN 46203-5214
(463) 701-0909
(640) 500-3096
Mailing address
1061 E SOUTHERN AVE, INDIANAPOLIS, IN 46203-5214
(463) 701-0909
(640) 500-3096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11621917
IN
Other
Enumeration date
04/13/2016
Last updated
11/09/2023
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