Individual
JASIANA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 755-4049
Mailing address
1133 W 52ND DR APT F142, MERRILLVILLE, IN 46410-1244
(815) 587-2056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-400813
IN
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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