Most Relevant Information
Provider Data
NPI Number: | 1003420035 |
Provider Name: | LINDSEY RENEE BIDWELL BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-20-41780 |
Most Important Dates
Enumeration Date: | 09/08/2020 |
Last Updated: | 03/02/2022 |
Provider Practice Location
3205 S MADISON ST
MUNCIE
IN
473025604
Practice Location Phone/Fax
Phone: | 7652834329 |
Fax: |
Provider Mailing Location
3205 S MADISON ST
MUNCIE
IN
473025604
Provider Mailing Phone/Fax
Phone: | 7652834329 |
Fax: |