Individual
DONTRELL MARQUIS SEGARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
5719 S MADISON AVE, ANDERSON, IN 46013-1651
(765) 617-2279
(765) 274-5244
Mailing address
3713 N CHADAM LN, MUNCIE, IN 47304-6309
(708) 378-2061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-327615
IN
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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