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1144914284
JAYLA GREEN
FORT WAYNE, IN
NPI
1144914284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-23-254661)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
JAYLA GREEN
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
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Mailing Address
JAYLA GREEN
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number:
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