Individual
BRODY EELCO REMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 309-7772
Mailing address
16443 VALLEY TRL, MISHAWAKA, IN 46544-6448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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