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1184915621
HAROLD JOHANESSEN
PALM COAST, FL
NPI
1184915621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL BCBA 1-01-0582)
Enumeration Date
2011-05-02
Last Update Date
2013-04-12
Business Address
-- HAROLD JOHANESSEN BCBA
5 RYKER LN
PALM COAST, FL 32164-3411
Phone number: 386-846-6256
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Mailing Address
-- HAROLD JOHANESSEN BCBA
5 RYKER LN
PALM COAST, FL 32164-3411
Phone number: 386-846-6256
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