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1679203228
REGINA BASANTA
RALEIGH, NC
NPI
1679203228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
REGINA BASANTA
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601-3000
Phone number: 877-418-2978
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Mailing Address
REGINA BASANTA
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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