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1871367920
IVAN CERVANTES
CUMMING, GA
NPI
1871367920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-253357)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
IVAN CERVANTES RBT
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD SUITE T200
CUMMING, GA 30040-3002
Phone number: 470-839-3041
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Mailing Address
IVAN CERVANTES RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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