Individual
ALEXANDRA SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
(260) 318-9005
Mailing address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-326532
IN
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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