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1376360016
TYSHAWN MORTON
MARTINEZ, GA
NPI
1376360016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-24-379527)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
TYSHAWN MORTON
3830 WASHINGTON RD STE 2
MARTINEZ, GA 30907-5065
Phone number: 762-222-7629
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Mailing Address
TYSHAWN MORTON
PO BOX 931142
ATLANTA, GA 31193-1142
Phone number:
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