STEPHEN MINER

DECATUR, IL
NPI1538840830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  RBT-23-287115)
Enumeration Date2023-07-28
Last Update Date2023-07-28
Business Address
STEPHEN MINER RBT
427 E ASH AVE
DECATUR, IL 62526-6117
Phone number: 574-387-4313
Mailing Address
STEPHEN MINER RBT
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-387-4313
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