Individual
BYRON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 986-6755
Mailing address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 986-6755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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