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1255004909
ADAM TAYLOR BENNETT
LAKE CHARLES, LA
NPI
1255004909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-559)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
ADAM TAYLOR BENNETT
2519 RYAN ST
LAKE CHARLES, LA 70601-7323
Phone number: 337-491-0800
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Mailing Address
ADAM TAYLOR BENNETT
2519 RYAN ST
LAKE CHARLES, LA 70601-7323
Phone number: 337-491-0800
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