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1235955469
OWEN PAUL BANNISH
DEERFIELD BEACH, FL
NPI
1235955469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
OWEN PAUL BANNISH
350 FAIRVIEW DRIVE, SUITE 101
DEERFIELD BEACH, FL 33441
Phone number: 877-418-2978
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Mailing Address
OWEN PAUL BANNISH
350 FAIRVIEW DRIVE, SUITE 101
DEERFIELD BEACH, FL 33441
Phone number: 877-418-2978
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