Individual
KATE ELLEN TRACHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
360 POLK ST, GREENWOOD, IN 46143-1623
(317) 888-1557
Mailing address
360 POLK ST, GREENWOOD, IN 46143-1623
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12044561
IN
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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