HEIDI SUZANNE OTIS

VINE GROVE, KY
NPI1467345793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: KY  RBT-25-437721)
Enumeration Date2025-06-03
Last Update Date2025-06-03
Business Address
HEIDI SUZANNE OTIS
147 TRIPLE CT
VINE GROVE, KY 40175-8610
Phone number: 270-547-0199
Mailing Address
HEIDI SUZANNE OTIS
147 TRIPLE CT
VINE GROVE, KY 40175-8610
Phone number: 270-547-0199