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Individual

SUMMER BROOKE YANOSKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA, LBA

Contact information

Practice address
993 ELLISTON WAY, THOMPSONS STATION, TN 37179-9801
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-29233
TN
103K00000X
Behavior Analyst
Primary
1130
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11829233
BACB
TN
Enumeration date
03/24/2018
Last updated
03/13/2025
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