BRYCE JACOB INGRAM

MISHAWAKA, IN
NPI1831074590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  rbt-25-461824)
Enumeration Date2025-08-11
Last Update Date2025-08-11
Business Address
BRYCE JACOB INGRAM
4609 GRAPE RD STE D1B
MISHAWAKA, IN 46545-8259
Phone number: 574-217-1624
Mailing Address
BRYCE JACOB INGRAM
5776 GRAPE RD PMB 171
MISHAWAKA, IN 46545
Phone number: 574-217-1624
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