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1255800496
LUIS ERNESTO CEBALLOS
MIAMI, FL
NPI
1255800496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-18-69497)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
LUIS ERNESTO CEBALLOS
9260 HAMMOCKS BLVD STE 202
MIAMI, FL 33196-1584
Phone number: 786-353-2900
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Mailing Address
LUIS ERNESTO CEBALLOS
15043 SW 109TH LN
MIAMI, FL 33196-2531
Phone number: 786-495-2565
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