BRAYEN LICKEY

FORT WAYNE, IN
NPI1134917404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-24-362844)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
BRAYEN LICKEY
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-459-6040
Mailing Address
BRAYEN LICKEY
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: