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1003489279
ALYSSA SHAW
FAYETTEVILLE, AR
NPI
1003489279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
ALYSSA SHAW
3155 N COLLEGE AVE STE 108
FAYETTEVILLE, AR 72703-3500
Phone number: 479-957-9121
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Mailing Address
ALYSSA SHAW
3155 N COLLEGE AVE STE 108
FAYETTEVILLE, AR 72703-3500
Phone number: 479-957-9121
Copy
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