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1457921223
BONITA JORDAN
MERRILLVILLE, IN
NPI
1457921223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-173335)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
BONITA JORDAN RBT
251 W 84TH DR
MERRILLVILLE, IN 46410-6243
Phone number: 219-205-3463
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Mailing Address
BONITA JORDAN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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