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1134896863
ISSAC BALLESTEROS
FORT WORTH, TX
NPI
1134896863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-21-181390)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
ISSAC BALLESTEROS RBT
12650 N BEACH ST STE 146
FORT WORTH, TX 76244-4253
Phone number: 682-238-1872
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Mailing Address
ISSAC BALLESTEROS RBT
12650 N BEACH ST STE 146
FORT WORTH, TX 76244-4253
Phone number: 682-238-1872
Copy
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