BRANDON THACKER

MUNCIE, IN
NPI1851031504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-03-30
Last Update Date2022-04-08
Business Address
BRANDON THACKER
2608 W RIGGIN RD
MUNCIE, IN 47304-1019
Phone number: 317-445-0336
Mailing Address
BRANDON THACKER
2608 W RIGGIN RD
MUNCIE, IN 47304-1019
Phone number: 317-445-0336
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