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1881425064
TIA S BOSTIC
ELLISVILLE, MO
NPI
1881425064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-23-285513)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
TIA S BOSTIC
333 OZARK TRAIL DR STE 50
ELLISVILLE, MO 63011-2185
Phone number: 636-398-2500
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Mailing Address
TIA S BOSTIC
4721 S CLIFF AVE STE 103
INDEPENDENCE, MO 64055-6969
Phone number: 816-608-1956
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