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1093458630
ANDY RIVAS GONZALEZ
HOLLYWOOD, FL
NPI
1093458630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-197411)
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
ANDY RIVAS GONZALEZ
3300 PEMBROKE RD LOT 328
HOLLYWOOD, FL 33021-8379
Phone number: 786-440-9753
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Mailing Address
ANDY RIVAS GONZALEZ
3300 PEMBROKE RD LOT 328
HOLLYWOOD, FL 33021-8379
Phone number: 786-440-9753
Copy
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