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1659051571
THEOLOGIA MATARAS
WATKINSVILLE, GA
NPI
1659051571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-14-17092)
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
THEOLOGIA MATARAS BCBA
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677-7245
Phone number: 706-449-0273
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Mailing Address
THEOLOGIA MATARAS BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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