Individual
KELLY BEECHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 GALEN DR W, AVON, IN 46123-8450
(317) 813-4690
Mailing address
3192 DERBY WAY APT 303, BROWNSBURG, IN 46112-5570
(317) 607-3283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73722
IN
106S00000X
Behavior Technician
RBT-20-137655
IN
Other
Enumeration date
01/04/2024
Last updated
07/09/2024
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