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1043816648
RICHARD JOHN COSSABOON
LONGWOOD, FL
NPI
1043816648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-136793)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
RICHARD JOHN COSSABOON
105 CAYLE AVE
LONGWOOD, FL 32750-2802
Phone number: 132-137-0663
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Mailing Address
RICHARD JOHN COSSABOON
105 CAYLE AVE
LONGWOOD, FL 32750-2802
Phone number: 132-137-0663
Copy
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