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1427667245
JOHN DERECK THOMAS
MARIETTA, GA
NPI
1427667245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-112043)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
JOHN DERECK THOMAS BS
2651 DALLAS HWY SW
MARIETTA, GA 30064-2541
Phone number: 678-486-1911
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Mailing Address
JOHN DERECK THOMAS BS
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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