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1891169728
MICHAEL FANTETTI
SOUTH BEND, IN
NPI
1891169728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MI 1-14-15932)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2015-11-16
Last Update Date
2024-01-29
Business Address
DR. MICHAEL FANTETTI
17551 GENERATIONS DR
SOUTH BEND, IN 46635-1589
Phone number: 574-400-2169
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Mailing Address
DR. MICHAEL FANTETTI
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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