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Justin Webb

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

NPI number1497540751
StatusActive
Last updated in NPPESApr 9, 2025

Details

NPI
1497540751
Entity type
Individual (NPI-1)
Name
Justin Webb
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2025
Certification date
Apr 9, 2025
Last updated
Apr 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-25-424989INYes

Practice location

525 Park Place Cir
Mishawaka, IN 46545-3511

Phone 574-387-4313

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307

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