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1063867612
BRIAN ELLIS
PANAMA CITY, FL
NPI
1063867612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-20-44656)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2016-05-02
Last Update Date
2020-09-24
Business Address
BRIAN ELLIS
5535 PINETREE RD
PANAMA CITY, FL 32404-5164
Phone number: 850-257-6408
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Mailing Address
BRIAN ELLIS
5535 PINETREE RD
PANAMA CITY, FL 32404-5164
Phone number: 850-257-6408
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