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1659840684
MCKAYLA PRENTICE
FORT WAYNE, IN
NPI
1659840684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-17-45287)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
MCKAYLA PRENTICE RBT
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-459-6040
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Mailing Address
MCKAYLA PRENTICE RBT
10820 COLDWATER RD
FORT WAYNE, IN 46845-1241
Phone number: 260-459-6040
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