Individual
DESTINY SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RBT
Contact information
Practice address
201 N. ILLINOIS STREET, 16TH FLOOR S TOWER, INDIANAPOLIS, IN 46204-4232
(463) 244-5821
Mailing address
201 N. ILLINOIS STREET, INDIANAPOLIS, IN 46204-4232
(463) 244-5821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-233991
IN
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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