Heidi Suzanne Otis
NPI #1467345793 in Vine Grove, Kentucky
Provider Information
- NPI Number
- 1467345793
- Entity Type
- Individual
- Name
- Heidi Suzanne Otis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 3, 2025
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 147 TRIPLE CT
- City
- Vine Grove
- State
- Kentucky
- ZIP Code
- 40175-8610
- Phone
- (270) 547-0199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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