Individual
DEJA POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3731 GUION RD, INDIANAPOLIS, IN 46222-1617
(317) 526-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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