Individual
AUTUMN LEE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 BIELBY RD UNIT C, LAWRENCEBURG, IN 47025-2089
(812) 288-4688
Mailing address
590 MISSOURI AVE STE 204, JEFFERSONVILLE, IN 47130-3084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-184839
IN
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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