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1265057822
IVAN CABEZAS DIAZ
HOMESTEAD, FL
NPI
1265057822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-119155)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
IVAN CABEZAS DIAZ
654 NE 9TH PL
HOMESTEAD, FL 33030-4934
Phone number: 305-248-3488
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Mailing Address
IVAN CABEZAS DIAZ
11902 SW 180TH ST
MIAMI, FL 33177-2415
Phone number: 786-286-3562
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