Individual
BOBBIE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 NORTH ILLINOIS STREET, 16TH FLOOR-SOUTH TOWER, INDIANAPOLIS, IN 46204
(678) 400-5040
Mailing address
201 NORTH ILLINOIS STREET, 16TH FLOOR-SOUTH TOWER, INDIANAPOLIS, IN 46204
(678) 400-5040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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