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1821564287
TIMOTHY RAY
LIVE OAK, TX
NPI
1821564287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 18-68525)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
TIMOTHY RAY RBT
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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Mailing Address
TIMOTHY RAY RBT
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 708-250-9366
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