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Organization
POTENTIAL GROWTH
Active
Organization
POTENTIAL GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY JARUTOWICZ BCBA (OWNER)
(210) 289-7686
Entity
Organization
Contact information
Practice address
1438 COUNTY ROAD 314, FLORESVILLE, TX 78114-3340
(210) 289-7686
Mailing address
1438 COUNTY ROAD 314, FLORESVILLE, TX 78114-3340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-12822
BACB
TX
Enumeration date
12/14/2013
Last updated
12/14/2013
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