Individual
BRIAN A ALDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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