Individual
MRS. KIMBERLY MARIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
16414 SOUTHPARK DR, WESTFIELD, IN 46074
(812) 361-6623
Mailing address
16414 SOUTHPARK DR, WESTFIELD, IN 46074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-5943
IN
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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