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1215604673
JESSICA ADEL LAVELLE
PHOENIX, AZ
NPI
1215604673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-20-137685)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
JESSICA ADEL LAVELLE
4602 E UNIVERSITY DR STE 130
PHOENIX, AZ 85034-7430
Phone number: 888-754-0398
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Mailing Address
JESSICA ADEL LAVELLE
14682 N 174TH LN
SURPRISE, AZ 85388-7875
Phone number: 425-314-2632
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