STEPHANIE GREEN

FORT WAYNE, IN
NPI1740092493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-23-275132)
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
STEPHANIE GREEN
12938 COLDWATER RD
FORT WAYNE, IN 46845-9517
Phone number: 317-584-5166
Mailing Address
STEPHANIE GREEN
163 STAUNTON AVE
CHURUBUSCO, IN 46723-1514
Phone number: 260-271-9826
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