Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013278258 |
---|---|
Provider Name | Deanna Robinson Prellwitz |
First Address | Georgetown, IN 47122-8928 |
Second Address | New Albany, IN 47150-2175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 05/06/2012 |