Individual
BRITTANY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 E 3RD ST, BLOOMINGTON, IN 47401-5539
(812) 318-4494
Mailing address
2815 E 3RD ST # 1011, BLOOMINGTON, IN 47401-5434
(812) 318-4494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-288768
IN
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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