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1841852449
JACOB MATTHEW TYRA
PHOENIX, AZ
NPI
1841852449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AZ BEH-001038)
Enumeration Date
2019-07-03
Last Update Date
2023-02-13
Business Address
JACOB MATTHEW TYRA MS, BCBA, LBA
1840 N 95TH AVE STE 140
PHOENIX, AZ 85037-4446
Phone number: 623-264-8188
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Mailing Address
JACOB MATTHEW TYRA MS, BCBA, LBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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