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Individual

KYLE DRANCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
2301 W BRADLEY AVE, CHAMPAIGN, IL 61821-1849
(317) 802-7447
(317) 802-7325
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 387-4313
(574) 204-2868

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/08/2020
Last updated
10/24/2022
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