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1194349993
SHAVAWN MATHIS
BRYAN, TX
NPI
1194349993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 1980397)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
SHAVAWN MATHIS RBT
1716 BRIARCREST DR STE 300
BRYAN, TX 77802-2777
Phone number: 979-429-3785
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Mailing Address
SHAVAWN MATHIS RBT
PO BOX 258831
OKLAHOMA CITY, OK 73125-8831
Phone number: 720-961-3764
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