AUDIANNA BASCOM

ATLANTA, IN
NPI1326787185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-05-31
Last Update Date2025-03-24
Business Address
AUDIANNA BASCOM
29101 N STATE ROAD 19
ATLANTA, IN 46031-9443
Phone number: 317-918-2689
Mailing Address
AUDIANNA BASCOM
29101 N STATE ROAD 19
ATLANTA, IN 46031-9443
Phone number: 317-918-2689