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1265123079
JUAN BASAVE
SUN CITY WEST, AZ
NPI
1265123079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-22-251366)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
JUAN BASAVE RBT
14510 W SHUMWAY DR STE 200
SUN CITY WEST, AZ 85375-5817
Phone number: 623-401-1232
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Mailing Address
JUAN BASAVE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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