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1255039152
EMILIO N/A ACOSTA
DULUTH, GA
NPI
1255039152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
EMILIO N/A ACOSTA
2810 PREMIERE PKWY STE 500
DULUTH, GA 30097-8912
Phone number: 866-523-4268
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Mailing Address
EMILIO N/A ACOSTA
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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