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1225794159
LUIS ROBERTO RIVERA
CASSELBERRY, FL
NPI
1225794159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-192546)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
LUIS ROBERTO RIVERA
148 WILSHIRE BLVD
CASSELBERRY, FL 32707-5372
Phone number: 321-972-4039
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Mailing Address
LUIS ROBERTO RIVERA
2253 SANTA LUCIA ST
KISSIMMEE, FL 34743-3377
Phone number: 787-438-9631
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