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1235705286
MARK WALLEN
INDIANAPOLIS, IN
NPI
1235705286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-169893)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
MARK WALLEN RBT
6635 E 21ST ST STE 100
INDIANAPOLIS, IN 46219-2252
Phone number: 317-608-2824
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Mailing Address
MARK WALLEN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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