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1265014997
JORGE LOPEZ BARAHONA
SUWANEE, GA
NPI
1265014997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-164313)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
JORGE LOPEZ BARAHONA RBT
4000 SMITHTOWN RD STE 200
SUWANEE, GA 30024-6560
Phone number: 470-632-4990
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Mailing Address
JORGE LOPEZ BARAHONA RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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