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1154821098
KATELYNN NICOLE BLACK
SAN ANTONIO, TX
NPI
1154821098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
KATELYNN NICOLE BLACK RBT
11310 SIR WINSTON ST BLDG D
SAN ANTONIO, TX 78216-2467
Phone number: 210-415-9626
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Mailing Address
KATELYNN NICOLE BLACK RBT
11310 SIR WINSTON ST BLDG D
SAN ANTONIO, TX 78216-2467
Phone number:
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