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1528678828
STACI RENAE GRUBAUGH
FORT WAYNE, IN
NPI
1528678828
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Former Name
STACI RENAE BIESZKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-21-47145)
Enumeration Date
2020-08-03
Last Update Date
2021-10-26
Business Address
STACI RENAE GRUBAUGH MA, BCBA
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
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Mailing Address
STACI RENAE GRUBAUGH MA, BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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