Individual
JORIS KORANTENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3559 STANFORD PL, DAYTON, OH 45406-3641
(937) 723-6893
Mailing address
2807 LANSING DR APT 4, DAYTON, OH 45420-1757
(937) 723-6893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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