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1669178547
ISAIAH BROOKS
TUCKER, GA
NPI
1669178547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-256419)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
ISAIAH BROOKS
5072 LAVISTA RD
TUCKER, GA 30084-3500
Phone number: 706-842-5330
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Mailing Address
ISAIAH BROOKS
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330
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