Individual
KELLIE MARIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1800 W 900 S, FLAT ROCK, IN 47234-9773
(317) 512-2101
Mailing address
3711 E SOUTHPORT RD, INDIANAPOLIS, IN 46227-7874
(317) 796-6668
(317) 759-2557
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7999
IN
Other
Enumeration date
01/16/2018
Last updated
05/09/2022
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