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1205414612
DALTON STANLEY
BOWLING GREEN, KY
NPI
1205414612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-20-137049)
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
DALTON STANLEY RBT
2427 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3980
Phone number: 270-936-7472
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Mailing Address
DALTON STANLEY RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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