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1003430182
VIVIAN IBARRA
MANSFIELD, TX
NPI
1003430182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-20-120193)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
VIVIAN IBARRA RBT
201 REGENCY PKWY
MANSFIELD, TX 76063-5638
Phone number: 817-752-4945
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Mailing Address
VIVIAN IBARRA RBT
201 REGENCY PKWY
MANSFIELD, TX 76063-5638
Phone number:
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