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1972196384
EDWARD BENAVIDEZ
FORT WORTH, TX
NPI
1972196384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
EDWARD BENAVIDEZ
5601 BRIDGE ST SUITE 300
FORT WORTH, TX 76112-2384
Phone number: 303-989-8169
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Mailing Address
EDWARD BENAVIDEZ
5601 BRIDGE ST SUITE 300
FORT WORTH, TX 76112-2384
Phone number:
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