Individual
MS. CHRISTIAN NICOLE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
3704 DELAWARE COMMONS NORTH DR, INDIANAPOLIS, IN 46220-3791
(317) 418-2527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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