Individual
MONIQUE BRENEA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10549 W US HIGHWAY 24, GOODLAND, IN 47948-8613
(219) 863-2704
Mailing address
3388 PEPPERMILL DR APT 1C, WEST LAFAYETTE, IN 47906-4133
(765) 761-1406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1119116
IN
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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