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1366020117
QUANDALA NORMAN
WATKINSVILLE, GA
NPI
1366020117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-159373)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
QUANDALA NORMAN RBT
1272 VIRGIL LANGFORD RD SUITE 101
WATKINSVILLE, GA 30677-3067
Phone number: 706-449-0273
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Mailing Address
QUANDALA NORMAN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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