SHARDAE ANNT'E WILSON

FORT WAYNE, IN
NPI1336756642
Former NameSHARDAE ANNT'E HICKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-18-71181)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
SHARDAE ANNT'E WILSON RBT
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
SHARDAE ANNT'E WILSON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885