Individual
KATIE ELIZABETH POLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 319-6617
Mailing address
9929 E. 126TH STREET, FISHERS, IN 46038
(317) 319-6617
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10310
IN
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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