Mikki B Coburn, MED

NPI #1447861497 in Plainfield, Indiana

Provider Information

NPI Number
1447861497
Entity Type
Individual
Name
Mikki B Coburn, MED
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Credential
MED
Enumeration Date
Aug 13, 2020
Last Updated
Aug 13, 2020

Practice Location

Address
160 PLAINFIELD VILLAGE DRIVE, SUITE 101
Address 2
NULL
State
Indiana
ZIP Code
46168-2782
Phone
(463) 888-0118

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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