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1396512414
AUSTIN PRUITT
NEWNAN, GA
NPI
1396512414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-309615)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
AUSTIN PRUITT RBT
2083 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265-2606
Phone number: 470-241-1408
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Mailing Address
AUSTIN PRUITT RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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