Individual
KRISTIN NOELLE WIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12364312
KY
103K00000X
Behavior Analyst
303365
KY
103K00000X
Behavior Analyst
95000727A
IN
Other
Enumeration date
03/01/2023
Last updated
11/26/2025
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