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1487199964
JAYONIECE TARA BROOKS
WINSTON SALEM, NC
NPI
1487199964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-20-43684)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2016-12-20
Last Update Date
2020-10-02
Business Address
JAYONIECE TARA BROOKS BCBA
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
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Mailing Address
JAYONIECE TARA BROOKS BCBA
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
Copy
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