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1215493556
MALLAMY IDALIT CAMARGO PENA
CLEARWATER, FL
NPI
1215493556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-02-12
Last Update Date
2022-01-21
Business Address
MALLAMY IDALIT CAMARGO PENA BCBA
29228 US HIGHWAY 19 N
CLEARWATER, FL 33761-2101
Phone number: 727-351-4191
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Mailing Address
MALLAMY IDALIT CAMARGO PENA BCBA
175 MIDDLE ST UNIT 1201
LAKE MARY, FL 32746-3625
Phone number: 866-610-0580
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