Andrea Dashelle Bailey
Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1013676550
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1013676550
- Entity type
- Individual (NPI-1)
- Name
- Andrea Dashelle Bailey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2021
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3731 Guion RdIndianapolis, IN 46222-1617
Phone 317-849-5437
Mailing address
3731 Guion RdIndianapolis, IN 46222-1617
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