Individual
BRIANNA REY AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 W BETHEL AVE, MUNCIE, IN 47304-5467
(765) 282-8222
Mailing address
3708 KINGSWAY DR, CROWN POINT, IN 46307-8936
(219) 323-9780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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