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NPI Code Detail

MEDICARE: BRINDY BARKER RBT

MEDICARE: BRINDY BARKER RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1932911666
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRINDY BARKER RBT
Provider Business Mailing Address
First Line : 5122 STATE ROAD 236
Second Line :
City : NORTH SALEM
State : IN
Zip : 46165-9703
Country : US
Telephone Number : 765-721-6904
Fax Number :
Provider Business Practice Location Address
First Line : 5250 E US HIGHWAY 36 STE 630
Second Line :
City : AVON
State : IN
Zip : 46123-9771
Country : US
Telephone Number : 317-815-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ BRINDY BARKER RBT” Practice Location

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