TABITHA ANN BASHAM

BLOOMINGTON, IN
NPI1891328381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-20-110550)
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
TABITHA ANN BASHAM
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
Mailing Address
TABITHA ANN BASHAM
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
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