Lanesa Barber
Behavior Technician in Kokomo, IN. Individual provider (NPI-1).
NPI number1184498024
StatusActive
Last updated in NPPESNov 10, 2023
Details
- NPI
- 1184498024
- Entity type
- Individual (NPI-1)
- Name
- Lanesa Barber
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2023
- Certification date
- Nov 10, 2023
- Last updated
- Nov 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-265925 | IN | Yes |
Practice location
1558 E Boulevard Ste AKokomo, IN 46902-2587
Phone 765-252-0530
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
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