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1174344824
ETHAN BAILEY
TUSCALOOSA, AL
NPI
1174344824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
ETHAN BAILEY LaABA
409 BARN WOOD RD
TUSCALOOSA, AL 35405-6631
Phone number: 916-889-4610
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Mailing Address
ETHAN BAILEY LaABA
409 BARN WOOD RD
TUSCALOOSA, AL 35405-6631
Phone number: 916-889-4610
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