Individual
MR. KIRK ALLEN GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2101 W TAPP RD, BLOOMINGTON, IN 47403-3278
(812) 330-4460
Mailing address
2101 W TAPP RD, BLOOMINGTON, IN 47403-3278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28731
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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