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1760972764
SHIVELL LUCKETT
INDIANAPOLIS, IN
NPI
1760972764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-17-36051)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
SHIVELL LUCKETT RBT
9905 FALL CREEK RD
INDIANAPOLIS, IN 46256-4804
Phone number: 317-813-4690
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Mailing Address
SHIVELL LUCKETT RBT
9905 FALL CREEK RD
INDIANAPOLIS, IN 46256-4804
Phone number: 317-813-4690
Copy
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