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1023644366
JADED LOTUS ABA LLC
MEMPHIS, TN
NPI
1023644366
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Entity Type
Organization
Authorized Contact
JOJUAN FULLWILEY
Bcba
901-498-0108
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-03-18
Last Update Date
2023-07-11
Business Address
JADED LOTUS ABA LLC
3834 GINKGO LN APT 206
MEMPHIS, TN 38125-6538
Phone number: 901-336-4225
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Mailing Address
JADED LOTUS ABA LLC
3834 GINKGO LN APT 206
MEMPHIS, TN 38125-6538
Phone number: 901-336-4225
Copy
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