RANDALL EDWARD SHORT

HUNTINGTON, WV
NPI1144839614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: WV  RBT-20-129252)
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
Mr. RANDALL EDWARD SHORT
10TH SIXTH AVENUE WEST
HUNTINGTON, WV 25701
Phone number: 304-525-8014
Mailing Address
Mr. RANDALL EDWARD SHORT
1342 SPRING VALLEY DR
HUNTINGTON, WV 25701-4340
Phone number: 304-416-0253
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