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Individual

BRENTON STEVEN COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, BCBA

Contact information

Practice address
4422 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(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
Primary
1-14-9890
IN
103K00000X
Behavior Analyst
1-14-9890
OH
103K00000X
Behavior Analyst
COBA.01257
OH

Other

Enumeration date
03/16/2016
Last updated
04/21/2025
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