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1154051878
EVAN DAVIS BENNTT
FAYETTEVILLE, AR
NPI
1154051878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-21-177154)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
EVAN DAVIS BENNTT
3155 N COLLEGE AVE STE 108
FAYETTEVILLE, AR 72703-3500
Phone number: 479-957-9121
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Mailing Address
EVAN DAVIS BENNTT
3155 N COLLEGE AVE STE 108
FAYETTEVILLE, AR 72703-3500
Phone number: 479-957-9121
Copy
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