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Organization
KEYSTONE AUTISM SOLUTIONS LLC
Active
Organization
KEYSTONE AUTISM SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY RAUB (OWNER)
(765) 430-8285
Entity
Organization
Contact information
Practice address
933 S STATE ROAD 57 STE B, WASHINGTON, IN 47501-4374
(765) 430-8285
Mailing address
3507 W CAPILANO DR, WEST LAFAYETTE, IN 47906-8879
(765) 430-8285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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