Individual
BRUNO WINICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
Mailing address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-286354
IN
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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