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1386360121
ALYSSA C FAWBUSH
SHERWOOD, AR
NPI
1386360121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AR RBT-22-225609)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
ALYSSA C FAWBUSH
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120-5095
Phone number: 501-753-5459
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Mailing Address
ALYSSA C FAWBUSH
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120-5095
Phone number: 501-753-5459
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