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1255948881
TAKASIA ALAE MCDANIEL
LITCHFIELD PARK, AZ
NPI
1255948881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-20-132286)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
TAKASIA ALAE MCDANIEL BA, RBT
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ 85340-3045
Phone number: 623-244-9179
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Mailing Address
TAKASIA ALAE MCDANIEL BA, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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