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1033993209
ERICK MARTINEZ ILLAS
MIAMI, FL
NPI
1033993209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-291663)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
ERICK MARTINEZ ILLAS RBT 23-291663
17630 SW 112TH AVE
MIAMI, FL 33157-5006
Phone number: 786-776-7549
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Mailing Address
ERICK MARTINEZ ILLAS RBT 23-291663
17630 SW 112TH AVE
MIAMI, FL 33157-5006
Phone number: 786-776-7549
Copy
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