ELLIOT LAKES

MUNCIE, IN
NPI1972125649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-19-76471)
Enumeration Date2020-05-15
Last Update Date2020-05-15
Business Address
ELLIOT LAKES
4105 N WALNUT ST
MUNCIE, IN 47303-5904
Phone number: 765-587-5244
Mailing Address
ELLIOT LAKES
4105 N WALNUT ST
MUNCIE, IN 47303-5904
Phone number: 765-587-5244
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