Individual
HEATHER JANECE DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS ; RBT
Contact information
Practice address
1900 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4033
(419) 830-0078
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78718
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-78718
RBT CERTIFICATE
—
Enumeration date
04/08/2019
Last updated
04/08/2019
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