Individual
LISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. BCBA
Contact information
Practice address
2817 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 245-1455
Mailing address
9822 DUPONT LAKES DR APT 2A, FORT WAYNE, IN 46825-7335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12428
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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