NPI 1013579358

Bryan J Gillenwater, RBT

Practitioner Behavior Technician Newburgh, IN

Practice location

Address: 4655 Rosebud Ln, Newburgh, IN 47630-9366
Phone: (812) 213-8031
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-18 (IN)

Other Behavior Technician providers in Indiana →

Registry record

NPI: 1013579358
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2019
Record last updated: 8 Jul 2019

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.