Individual
ANNETTE BAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
919 S CENTRAL AVE, FAIRBORN, OH 45324-3804
(937) 878-4614
(937) 878-4719
Mailing address
919 S CENTRAL AVE, FAIRBORN, OH 45324-3804
(937) 878-4614
(937) 878-4719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16-12297
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-12297
REGISTERED BEHAVIOR TECHNICIAN
—
Enumeration date
01/02/2018
Last updated
01/02/2018
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