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1073393195
MAKENZI SHORT
FORT WAYNE, IN
NPI
1073393195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-23-284199)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
MAKENZI SHORT RBT
5750 FALLS DR
FORT WAYNE, IN 46804-7147
Phone number: 260-702-9898
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Mailing Address
MAKENZI SHORT RBT
2785 CASON ST # 2
LAFAYETTE, IN 47904-2843
Phone number: 765-446-4185
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