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1164016960
CHANCIA J MATOS
TAMPA, FL
NPI
1164016960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-126843)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
CHANCIA J MATOS
1413 TECH BLVD STE 122
TAMPA, FL 33619-7822
Phone number: 855-832-6727
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Mailing Address
CHANCIA J MATOS
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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