Krider, Brooke

Krider, Brooke is an individual health care provider with primary practice located at 5601 Coventry Ln , Fort Wayne IN 46804-7145. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Krider, Brooke can be contacted via phone (260) 459-6040.

Contact Information

Primary practice address
5601 Coventry Ln Fort Wayne IN 46804-7145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X RBT-20-145251 Indiana

Profile Details

NPI number 1588428643
LBN Legal business name Krider, Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2024
Last updated Feb 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers