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1326745860
SHAITAVIA BAISY
WACO, TX
NPI
1326745860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX BACB798858)
Enumeration Date
2023-02-15
Last Update Date
2023-03-10
Business Address
SHAITAVIA BAISY
7215 BOSQUE BLVD
WACO, TX 76710-4020
Phone number: 855-832-6727
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Mailing Address
SHAITAVIA BAISY
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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