Individual
SYDNEY BARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
Mailing address
4935 HILLEGAS RD, FORT WAYNE, IN 46818-1906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56596
IN
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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