MISTY LAYNE ANDERSON

HERRIN, IL
NPI1346817160
Former NameMISTY LAYNE STEPHENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  152.002951)
Enumeration Date2021-06-09
Last Update Date2025-09-10
Business Address
MISTY LAYNE ANDERSON RBT
3022 S PARK AVE
HERRIN, IL 62948-3721
Phone number: 618-967-1567
Mailing Address
MISTY LAYNE ANDERSON RBT
3022 S PARK AVE
HERRIN, IL 62948-3721
Phone number: 618-967-1567
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