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1003422908
FREDY MANUEL FONSECA AVILA
DORAL, FL
NPI
1003422908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-118657)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
FREDY MANUEL FONSECA AVILA RBT
8245 NW 36TH ST STE 7
DORAL, FL 33166-6636
Phone number: 305-594-5658
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Mailing Address
FREDY MANUEL FONSECA AVILA RBT
2601 NW 16TH STREET RD APT 236
MIAMI, FL 33125-1482
Phone number: 786-865-1297
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