Individual
BRANDYN BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11530 ALLISONVILLE RD STE 10011530, FISHERS, IN 46038-1866
(317) 691-8975
Mailing address
11530 ALLISONVILLE RD STE 100, FISHERS, IN 46038-1862
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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