Individual
KRISTA NICHOLE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 W 96TH ST STE 105, INDIANAPOLIS, IN 46278-6018
(888) 975-4557
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65684
IN
106S00000X
Behavior Technician
RBT-19-82776
IN
Other
Enumeration date
04/14/2020
Last updated
07/24/2023
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