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Individual

BRAINNA ENGLAND

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

Other

Enumeration date
08/30/2024
Last updated
08/30/2024
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