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Organization
FOOTSTEPS OF CHANGE, INC.
Active
Organization
FOOTSTEPS OF CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH T VAN DORN M.S., BCBA (OWNER)
(815) 981-8012
Entity
Organization
Contact information
Practice address
105 DARTMOUTH DR, MADISON, AL 35757-7445
(815) 981-8012
Mailing address
PO BOX 1522, MADISON, AL 35758-5403
(815) 981-8012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
03/17/2018
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