Individual
LAURA MARIE KIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7526 E 82ND STREET, INDIANAPOLIS, IN 46256
(317) 222-1886
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63119
IN
Other
Enumeration date
10/14/2021
Last updated
07/18/2024
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