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1194446849
LUCAS MOODY
ANCHORAGE, AK
NPI
1194446849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-22-234032)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
LUCAS MOODY
3105 LAKESHORE DR STE A1013105
ANCHORAGE, AK 99517-2815
Phone number: 907-302-9164
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Mailing Address
LUCAS MOODY
PO BOX 241224
ANCHORAGE, AK 99524-1224
Phone number: 907-302-9164
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