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Individual

ALAZAI BRIANN LARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
653 E 1100 N, ROANOKE, IN 46783-9425
(260) 530-6632
Mailing address
653 E 1100 N, ROANOKE, IN 46783-9425
(260) 530-6632

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
6670038042
IN

Other

Enumeration date
09/19/2025
Last updated
09/19/2025
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