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1548833759
KIRSTIE TANAKA
BENTONVILLE, AR
NPI
1548833759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-21-50902)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
KIRSTIE TANAKA BCBA
2703 SE OTIS CORLEY DR
BENTONVILLE, AR 72712-3864
Phone number: 917-905-0139
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Mailing Address
KIRSTIE TANAKA BCBA
2703 SE OTIS CORLEY DR
BENTONVILLE, AR 72712-3864
Phone number:
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