HECTOR LEWIS STANBACK

STONE MOUNTAIN, GA
NPI1104590009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  057756024)
Enumeration Date2021-08-04
Last Update Date2021-08-04
Business Address
HECTOR LEWIS STANBACK
1452 KNIGHTS TRL
STONE MOUNTAIN, GA 30083-6200
Phone number: 678-789-4812
Mailing Address
HECTOR LEWIS STANBACK
1452 KNIGHTS TRL
STONE MOUNTAIN, GA 30083-6200
Phone number: 678-789-4812
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