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1952806911
DEVANIO COUSINS
LOGAN, UT
NPI
1952806911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: CA 0-19-9989)
Enumeration Date
2018-03-29
Last Update Date
2023-07-13
Business Address
DEVANIO COUSINS
6405 OLD MAIN HILL
LOGAN, UT 84322-0001
Phone number: 435-797-3403
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Mailing Address
DEVANIO COUSINS
6405 OLD MAIN HILL
LOGAN, UT 84322-0001
Phone number: 435-797-3403
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