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1124719752
LISA BRENNER
WATKINSVILLE, GA
NPI
1124719752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-261791)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
LISA BRENNER RBT
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677-7245
Phone number: 706-449-0273
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Mailing Address
LISA BRENNER RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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