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Individual

BRIANA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
2007 PORTE DELEAU CT APT 301, HIGHLAND, IN 46322-3705
(708) 527-5622

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-90647
IN

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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