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1437667813
TRAVIS MOODY
ANN ARBOR, MI
NPI
1437667813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
156F00000X Technician/Technologist
Enumeration Date
2018-01-19
Last Update Date
2021-01-22
Business Address
TRAVIS MOODY B.A., PSYCHOLOGY
2890 CARPENTER RD
ANN ARBOR, MI 48108-1100
Phone number: 734-929-5224
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Mailing Address
TRAVIS MOODY B.A., PSYCHOLOGY
PO BOX 663
LAKELAND, MI 48143-0663
Phone number: 810-599-2129
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