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1477143071
JA-LISA RICHARD
GREENWOOD, IN
NPI
1477143071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-151928)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
JA-LISA RICHARD RBT
21 S PARK BLVD STE 21
GREENWOOD, IN 46143-8838
Phone number: 317-449-2104
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Mailing Address
JA-LISA RICHARD RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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