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1053950188
RUTH ANNE MARIE OTIS
CHAMPAIGN, IL
NPI
1053950188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2020-01-07
Last Update Date
2022-09-13
Business Address
RUTH ANNE MARIE OTIS RBT
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 217-295-2491
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Mailing Address
RUTH ANNE MARIE OTIS RBT
1827 E IRELAND RD
SOUTH BEND, IN 46614-2845
Phone number: 574-387-4313
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