Individual
BROOKLYN RAE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 ACCUTECH WAY, MUNCIE, IN 47304-9462
(765) 282-8222
Mailing address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
(765) 282-8222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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