JACOB GERONDALE

FORT WAYNE, IN
NPI1518458256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
JACOB GERONDALE RBT
12912 COLDWATER RD STE E
FORT WAYNE, IN 46845-8871
Phone number: 260-245-1455
Mailing Address
JACOB GERONDALE RBT
6060 N COLLEGE AVE
INDIANAPOLIS, IN 46220-1907
Phone number: 317-584-5166
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