Individual
RONICA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 PIERCE PL, MERRILLVILLE, IN 46410-4678
(219) 316-5406
Mailing address
7509 PIERCE PL, MERRILLVILLE, IN 46410-4678
(219) 316-5406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
IN
Enumeration date
07/20/2020
Last updated
07/20/2020
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