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1265118558
PEDRO BANEGAS
SPRING LAKE, NC
NPI
1265118558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-23-279891)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
PEDRO BANEGAS
102 SUPERIOR DR
SPRING LAKE, NC 28390-3190
Phone number: 910-484-1711
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Mailing Address
PEDRO BANEGAS
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303-5283
Phone number: 910-484-1711
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