Individual
JUDLANDA RESOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 NUTTER PARK DR, BEAVERCREEK, OH 45434-3500
(859) 282-0400
Mailing address
800 RIVIERA DR, LAWRENCEBURG, IN 47025-2063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333639
OH
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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