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Individual
JACK ALEXANDER HAWK WRIGHT
Active
Individual
JACK ALEXANDER HAWK WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
RBT-22-221197
CA
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/13/2021
Last updated
10/25/2022
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