PAYTON OLIVIA MUMMA

BLOOMINGTON, IN
NPI1194364877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-19-92850)
Enumeration Date2019-12-30
Last Update Date2019-12-30
Business Address
PAYTON OLIVIA MUMMA
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
Mailing Address
PAYTON OLIVIA MUMMA
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
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