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1740852003
MAVERICK HOWARD
LAKEWOOD, CO
NPI
1740852003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-21-175886)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
MAVERICK HOWARD RBT
6555 W COLFAX AVE
LAKEWOOD, CO 80214-1803
Phone number: 720-571-9567
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Mailing Address
MAVERICK HOWARD RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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