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1184349557
RYAN STATEN
FAYETTEVILLE, AR
NPI
1184349557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AR 22-231534)
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
RYAN STATEN
2846 N GARLAND AVE
FAYETTEVILLE, AR 72704-2164
Phone number: 855-324-0885
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Mailing Address
RYAN STATEN
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number:
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