SORTA GANDA ULI SCHRAMM

KOKOMO, IN
NPI1134734908
Former NameSORTA GANDA ULI PANDJAITAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-23-64321)
Additional Taxonomies106S00000X Behavior Technician
(Licence: IN  RBT-20-114416)
Enumeration Date2020-09-09
Last Update Date2023-03-14
Business Address
SORTA GANDA ULI SCHRAMM MA
1558 E BOULEVARD STE A
KOKOMO, IN 46902-2587
Phone number: 765-252-0530
Mailing Address
SORTA GANDA ULI SCHRAMM MA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885