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Tyler Ottinger

Behavior Technician in Bloomington, IN. Individual provider (NPI-1).

NPI number1467257501
StatusActive
Last updated in NPPESFeb 13, 2025

Details

NPI
1467257501
Entity type
Individual (NPI-1)
Name
Tyler Ottinger
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2025
Certification date
Feb 13, 2025
Last updated
Feb 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3106 N Canterbury Ct
Bloomington, IN 47404-1500

Phone 317-334-7331 · Fax 317-334-7336

Mailing address

8646 Guion Rd
Indianapolis, IN 46268-3011

Phone 317-334-7331 · Fax 317-334-7336

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