MATTHEW R DEJESUS

FORT WAYNE, IN
NPI1689205387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-19-106957)
Enumeration Date2020-01-31
Last Update Date2020-01-31
Business Address
MATTHEW R DEJESUS
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
Mailing Address
MATTHEW R DEJESUS
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040