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1588343073
ELIJAH VINCENT
COLUMBUS, GA
NPI
1588343073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-253517)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
ELIJAH VINCENT RBT
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904-4559
Phone number: 762-239-0017
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Mailing Address
ELIJAH VINCENT RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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