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1104543503
YANSY MARTINEZ OTANO
MIAMI, FL
NPI
1104543503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-156635)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
YANSY MARTINEZ OTANO
812 SW 134TH PL
MIAMI, FL 33184-1953
Phone number: 786-860-0693
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Mailing Address
YANSY MARTINEZ OTANO
812 SW 134TH PL
MIAMI, FL 33184-1953
Phone number: 786-860-0693
Copy
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