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Individual

AUDRIANNA NICOLE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A, BCBA

Contact information

Practice address
5125 DECATUR BLVD STE A, INDIANAPOLIS, IN 46241-7511
(317) 315-7001
Mailing address
3724 KNICKERBOCKER PL APT 2C, INDIANAPOLIS, IN 46240-2196
(317) 315-7001

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/08/2022
Last updated
07/08/2022
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