NPI 1003576943

Timara White, RBT

Practitioner Behavior Technician Greenwood, IN

Practice location

Address: 21 S Park Blvd STE 21, Greenwood, IN 46143-8838
Phone: (317) 449-2104
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-196973 (IN)

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Registry record

NPI: 1003576943
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2021
Record last updated: 20 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.