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1417437245
MATTHEW HOLLAND
SHREVEPORT, LA
NPI
1417437245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA RBT-16-25504)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
MATTHEW HOLLAND RBT
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
MATTHEW HOLLAND RBT
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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