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1003576877
JALISA JOHNS
NEWBURGH, IN
NPI
1003576877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-21-197495)
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
JALISA JOHNS RBT
4655 ROSEBUD LN
NEWBURGH, IN 47630-9366
Phone number: 812-213-8031
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Mailing Address
JALISA JOHNS RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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