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1609499383
JORDAN JOHNSON
KYLE, TX
NPI
1609499383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-19-97422)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
JORDAN JOHNSON
4221 BENNER STE 250
KYLE, TX 78640-2220
Phone number: 512-596-4883
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Mailing Address
JORDAN JOHNSON
4221 BENNER STE 250
KYLE, TX 78640-2220
Phone number: 512-596-4883
Copy
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