SELENA PROVORSE

WESTLAKE, OH
NPI1023772621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OH  RBT-21-190437)
Enumeration Date2021-10-29
Last Update Date2021-10-29
Business Address
SELENA PROVORSE RBT
29077 CLEMENS RD
WESTLAKE, OH 44145-1135
Phone number: 440-871-6568
Mailing Address
SELENA PROVORSE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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