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1295223337
MICHELLE VICTORIA BEATTY
CHAMPAIGN, IL
NPI
1295223337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
(Licence: 16-13078)
Enumeration Date
2018-04-24
Last Update Date
2022-03-25
Business Address
MICHELLE VICTORIA BEATTY BCBA
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 574-387-4313
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Mailing Address
MICHELLE VICTORIA BEATTY BCBA
1824 TOUBY PIKE STE B
KOKOMO, IN 46901-2573
Phone number: 765-628-7400
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