Audianna Bascom

NPI #1326787185 in Atlanta, Indiana

Provider Information

NPI Number
1326787185
Entity Type
Individual
Name
Audianna Bascom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 31, 2022
Last Updated
Mar 24, 2025

Practice Location

Address
29101 N STATE ROAD 19
State
Indiana
ZIP Code
46031-9443
Phone
(317) 918-2689

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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