Individual
ABIGAIL M MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W JACKSON ST, SHELBYVILLE, IN 46176-1295
(317) 512-2101
Mailing address
927 PACA ST, INDIANAPOLIS, IN 46202-2914
(510) 290-8573
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KPM122648431045
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/29/2022
Last updated
03/29/2022
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