Most Relevant Information
Provider Data
| NPI Number: | 1003438763 |
| Provider Name: | MICHELLE ADAWAY RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-17-46638 |
Most Important Dates
| Enumeration Date: | 05/15/2020 |
| Last Updated: | 05/15/2020 |
Provider Practice Location
4105 N WALNUT ST
MUNCIE
IN
473035904
Practice Location Phone/Fax
| Phone: | 7655875244 |
| Fax: |
Provider Mailing Location
4105 N WALNUT ST
MUNCIE
IN
473035904
Provider Mailing Phone/Fax
| Phone: | 7655875244 |
| Fax: |