Individual
BRENT NELSON JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA BCBA
Contact information
Practice address
1558 E BOULEVARD STE A, KOKOMO, IN 46902-2479
(765) 252-0530
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(317) 449-4833
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39699
IN
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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