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1073948915
JACQUELINE RICHELLE THAXTON
CARMEL, IN
NPI
1073948915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-12-11897)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
-- JACQUELINE RICHELLE THAXTON BCBA
12726 HAMILTON CROSSING BLVD
CARMEL, IN 46032-5422
Phone number: 317-249-2242
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Mailing Address
-- JACQUELINE RICHELLE THAXTON BCBA
3922 MEZZANINE DR
LAFAYETTE, IN 47905-8642
Phone number:
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