Individual
MISS BAILEY KAY BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W TAPP RD, BLOOMINGTON, IN 47403-3459
(812) 330-4460
(812) 330-4461
Mailing address
1501 W TAPP RD, BLOOMINGTON, IN 47403-3459
(812) 330-4460
(812) 330-4461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-135-198
IN
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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