Individual
CLANCY LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-233100
SD
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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