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1477247757
ETHAN YOUNG
CHAMPAIGN, IL
NPI
1477247757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
ETHAN YOUNG RBT
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 574-387-4313
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Mailing Address
ETHAN YOUNG RBT
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number:
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