Individual
CARISSA NICOLE BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(800) 841-4938
Mailing address
620 S OBRIEN ST, SEYMOUR, IN 47274-2418
(812) 569-3310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-95273
IN
225X00000X
Occupational Therapist
Primary
31008556A
IN
Other
Enumeration date
07/31/2020
Last updated
09/22/2025
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