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1184162927
JAMES DOUGLAS
LAKE WORTH, FL
NPI
1184162927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2017-02-01
Last Update Date
2020-02-05
Business Address
JAMES DOUGLAS BA
7138 S MILITARY TRL
LAKE WORTH, FL 33463-7812
Phone number: 561-542-7795
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Mailing Address
JAMES DOUGLAS BA
116 S LONGPORT CIR UNIT C116C
DELRAY BEACH, FL 33444-3416
Phone number: 304-203-4551
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