Individual
FALLON DENEANE STUTHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
406 W 25TH ST, KEARNEY, NE 68845-4441
(402) 414-2459
Mailing address
406 W 25TH ST, KEARNEY, NE 68845-4441
(402) 414-2459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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