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1710579370
JONATHAN LUCAS MEDLOCK
CYPRESS, TX
NPI
1710579370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 7182)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-02-05
Last Update Date
2024-09-24
Business Address
JONATHAN LUCAS MEDLOCK BEHAVIOR ANALYST
12430 GRANT RD STE A
CYPRESS, TX 77429-7912
Phone number: 855-782-7822
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Mailing Address
JONATHAN LUCAS MEDLOCK BEHAVIOR ANALYST
12430 GRANT RD STE A
CYPRESS, TX 77429-7912
Phone number: 855-782-7822
Copy
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