Individual
BREANNA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2222 POSHARD DR, COLUMBUS, IN 47203-1843
(812) 302-4750
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-167522
IN
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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