Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41780 | IN |
NPI | 1003420035 |
---|---|
Provider Name | Mrs. Lindsey Renee Bidwell |
First Address | New Castle, IN 47362-9262 |
Second Address | New Castle, IN 47362-9262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2020 |
Last Update Date | 08/09/2020 |