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1366047052
AMANDA R JACKSON
SOUTHERN PINES, NC
NPI
1366047052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 00012644)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
AMANDA R JACKSON BCAT
280 PINEHURST AVE STE 7
SOUTHERN PINES, NC 28387-7089
Phone number: 800-991-6070
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Mailing Address
AMANDA R JACKSON BCAT
316 MID VALLEY CTR # 186
CARMEL, CA 93923-8516
Phone number:
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