Individual
ANNIE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1501 W TAPP RD, BLOOMINGTON, IN 47403-3459
(812) 330-4460
(812) 330-4461
Mailing address
1501 W TAPP RD, BLOOMINGTON, IN 47403-3459
(812) 330-4460
(812) 330-4461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169634
IN
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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