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1023824992
AHMED ALFONSO TEBAS SACASA
MIRAMAR, FL
NPI
1023824992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-275161)
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
AHMED ALFONSO TEBAS SACASA
3350 SW 148TH AVE STE 110
MIRAMAR, FL 33027-3237
Phone number: 786-346-9021
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Mailing Address
AHMED ALFONSO TEBAS SACASA
7379 NW 173RD DR
HIALEAH, FL 33015-8484
Phone number: 786-909-1849
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