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1427711357
TANISHA ALICIA BENJAMIN
DOTHAN, AL
NPI
1427711357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AL RBT-21-187759)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
TANISHA ALICIA BENJAMIN RBT
2543 ROSS CLARK CIR STE 5
DOTHAN, AL 36301-4916
Phone number: 334-699-4007
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Mailing Address
TANISHA ALICIA BENJAMIN RBT
2543 ROSS CLARK CIR STE 5
DOTHAN, AL 36301-4916
Phone number: 334-699-4007
Copy
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