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1023842267
MICHAEL LICONA
HOMESTEAD, FL
NPI
1023842267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-351715)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
MICHAEL LICONA
15010 SW 307TH ST
HOMESTEAD, FL 33033-4440
Phone number: 305-519-5205
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Mailing Address
MICHAEL LICONA
15010 SW 307TH ST
HOMESTEAD, FL 33033-4440
Phone number: 305-519-5205
Copy
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