Individual
KILEY RAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6910 N MAIN ST BLDG 13C51, GRANGER, IN 46530
(574) 217-1624
(574) 889-9524
Mailing address
6910 N MAIN ST BLDG 13 C BOX 51, GRANGER, IN 46530-2635
(574) 217-1624
(574) 889-9524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19305
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19305
BCBA
IN
Enumeration date
07/23/2015
Last updated
06/04/2019
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