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1386169399
TARA LEE PETTY
ROGERS, AR
NPI
1386169399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-19-37303)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-08-10
Last Update Date
2021-09-29
Business Address
TARA LEE PETTY RBT
3400 N WOODS LN
ROGERS, AR 72756-6712
Phone number: 479-636-3190
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Mailing Address
TARA LEE PETTY RBT
1704 W INDUSTRIAL DR STE C
ROGERS, AR 72756-2497
Phone number:
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