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1013756667
PHILLIP LEE HERNDON
HINESVILLE, GA
NPI
1013756667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO 1-24-72250)
Enumeration Date
2024-05-23
Last Update Date
2024-05-23
Business Address
PHILLIP LEE HERNDON BCBA
506 N MAIN ST
HINESVILLE, GA 31313
Phone number: 615-560-6622
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Mailing Address
PHILLIP LEE HERNDON BCBA
3055 ISABEL DRIVE
LOS ANGELES, CA 90065
Phone number: 626-260-6261
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