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1215797634
WILLEM BASS
MACON, GA
NPI
1215797634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-24-332425)
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
WILLEM BASS RBT
4931 RIVERSIDE DR STE 400A
MACON, GA 31210-1195
Phone number: 478-219-7626
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Mailing Address
WILLEM BASS RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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