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1225262017
ALEX WITARSA
AUSTIN, TX
NPI
1225262017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-09-5006)
Enumeration Date
2009-05-07
Last Update Date
2015-09-01
Business Address
Mr. ALEX WITARSA BCBA
11101 CRAZY WELL DR
AUSTIN, TX 78717-4679
Phone number: 617-462-8178
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Mailing Address
Mr. ALEX WITARSA BCBA
11101 CRAZY WELL DR
AUSTIN, TX 78717-4679
Phone number: 617-462-8178
Copy
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