Individual
AUTUMN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 WALL ST, VALPARAISO, IN 46383-2537
(317) 960-4052
Mailing address
429 S JOLIET ST, HOBART, IN 46342-4637
(765) 717-6355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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