Individual
KONNOR GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
1711 N COLLEGE AVE STE 101, BLOOMINGTON, IN 47404-2450
(812) 929-2212
Mailing address
3139 S GARRISON CHAPEL RD, BLOOMINGTON, IN 47403-9229
(812) 929-2212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37373
IN
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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