Individual
BETSY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-33422
IN
Other
Enumeration date
06/28/2023
Last updated
03/24/2026
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