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1275130528
ALEXANDER CALLOCCHIO
NEWNAN, GA
NPI
1275130528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-139167)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
ALEXANDER CALLOCCHIO
225 MILLARD FARMER IND BLVD STE 100
NEWNAN, GA 30263-3168
Phone number: 904-538-0713
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Mailing Address
ALEXANDER CALLOCCHIO
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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