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1780395533
BRANDON EDWARD SHOUP
ROWLETT, TX
NPI
1780395533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-22-234034)
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
BRANDON EDWARD SHOUP
9500 LAKEVIEW PKWY
ROWLETT, TX 75088-4557
Phone number: 469-458-9021
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Mailing Address
BRANDON EDWARD SHOUP
911 N GOLIAD ST
ROCKWALL, TX 75087-2230
Phone number: 469-458-9021
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