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1871002311
MICHAEL THOMAS OTA
ROUND ROCK, TX
NPI
1871002311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-17-27192)
Enumeration Date
2017-09-27
Last Update Date
2019-03-28
Business Address
Mr. MICHAEL THOMAS OTA BCBA
595 ROUND ROCK WEST DR STE 104
ROUND ROCK, TX 78681
Phone number: 512-898-9483
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Mailing Address
Mr. MICHAEL THOMAS OTA BCBA
595 ROUND ROCK WEST DR STE 104
ROUND ROCK, TX 78681-5028
Phone number: 512-898-9483
Copy
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