Individual
BEVERLY JEAN FORREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3821 RED BUD LN, KOKOMO, IN 46902-4382
(765) 210-1284
Mailing address
3821 RED BUD LN, KOKOMO, IN 46902-4382
(765) 210-1284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2011
Last updated
10/05/2012
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