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1881186765
TERENCE K TISDELL
IRVING, TX
NPI
1881186765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-17-34372)
Enumeration Date
2018-06-05
Last Update Date
2018-06-07
Business Address
TERENCE K TISDELL REGISTERED RBT
400 E ROYAL LN BLDG 3
IRVING, TX 75039-3540
Phone number: 855-832-6727
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Mailing Address
TERENCE K TISDELL REGISTERED RBT
4575 S.E. DIXIE HIGHWAY STUART
STUART, FL 34997
Phone number:
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