Individual
BRENNA WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
29101 IN-19, ATLANTA, IN 46031
(317) 918-2689
Mailing address
7425 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
(317) 918-2689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82358
IN
106S00000X
Behavior Technician
RBT-20-135093
IN
Other
Enumeration date
02/25/2021
Last updated
07/08/2025
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