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1013571066
ALYSSA R SMITH
FORT WAYNE, IN
NPI
1013571066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-18-74244)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
ALYSSA R SMITH
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-459-6040
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Mailing Address
ALYSSA R SMITH
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number:
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