Individual
MRS. KATRINA DANIELLE MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3030 LAKE AVE STE 20, FORT WAYNE, IN 46805-5428
(260) 420-9332
Mailing address
3030 LAKE AVE STE 20, FORT WAYNE, IN 46805-5428
(260) 420-9332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
09/24/2019
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