Individual
COLIN MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3216 BALLARD LN, NEW ALBANY, IN 47150-7200
(812) 590-2157
Mailing address
3216 BALLARD LN, NEW ALBANY, IN 47150-7200
(812) 590-2157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-177215
IN
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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