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1942901806
AVERY LEANN HERNDON
SAN ANTONIO, TX
NPI
1942901806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 23-262431)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
AVERY LEANN HERNDON
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257-2108
Phone number: 210-455-1091
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Mailing Address
AVERY LEANN HERNDON
125 RATTLESNAKE BLF
BOERNE, TX 78006-1961
Phone number:
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