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1811583149
SHAYNA KIDWELL
LAFAYETTE, IN
NPI
1811583149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
SHAYNA KIDWELL RBT
2785 CASON ST # 2
LAFAYETTE, IN 47904-2843
Phone number: 765-446-4185
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Mailing Address
SHAYNA KIDWELL RBT
1824 TOUBY PIKE STE B
KOKOMO, IN 46901-2573
Phone number: 765-628-7400
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