Individual
BETHANY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7208 DOBSON ST, INDIANAPOLIS, IN 46268-2128
(317) 403-6705
Mailing address
4018 BROOKVILLE RD, INDIANAPOLIS, IN 46201-4561
(317) 796-8827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/17/2020
Last updated
05/29/2024
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