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1225344922
MICHAEL SCOTT GAMMAGE
FORT WORTH, TX
NPI
1225344922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-08-4033)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
Mr. MICHAEL SCOTT GAMMAGE BCBA
1625 MARTEL AVE
FORT WORTH, TX 76103-1416
Phone number: 817-992-0931
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Mailing Address
Mr. MICHAEL SCOTT GAMMAGE BCBA
1625 MARTEL AVE
FORT WORTH, TX 76103-1416
Phone number: 817-992-0931
Copy
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