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1861009995
BENJAMIN SAMUEL FALLIS
TACOMA, WA
NPI
1861009995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CBT.CB.61040659)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
BENJAMIN SAMUEL FALLIS
4301 S PINE ST STE 505
TACOMA, WA 98409-7208
Phone number: 253-292-4354
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Mailing Address
BENJAMIN SAMUEL FALLIS
4301 S PINE ST STE 505
TACOMA, WA 98409-7208
Phone number: 253-292-4354
Copy
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