Individual
MRS. VIRGINIA KATHLENE JANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8009 MANOR DR NE, LANESVILLE, IN 47136-8741
(812) 952-1741
Mailing address
8009 MANOR DR NE, LANESVILLE, IN 47136-8741
(812) 952-1741
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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