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1194297424
DIVVIA-CLYNE ASHLEY COLLINS
CASSELBERRY, FL
NPI
1194297424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: FL 0-17-7834)
Enumeration Date
2018-12-27
Last Update Date
2019-04-08
Business Address
DIVVIA-CLYNE ASHLEY COLLINS BCaBA
148 WILSHIRE BLVD
CASSELBERRY, FL 32707-5372
Phone number: 321-972-4039
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Mailing Address
DIVVIA-CLYNE ASHLEY COLLINS BCaBA
1513 LEONE LN
PORT ORANGE, FL 32129-4079
Phone number: 386-679-4554
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