Individual
CARSYN WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4101 E 3RD ST, BLOOMINGTON, IN 47401-5539
(812) 747-9384
(513) 278-5465
Mailing address
2815 E 3RD ST # 1011, BLOOMINGTON, IN 47401-5434
(812) 747-9384
(513) 278-5465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-231696
IN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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