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1285302521
JORDAN T DAVIS
LAKELAND, FL
NPI
1285302521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-377453)
Enumeration Date
2021-09-01
Last Update Date
2024-09-23
Business Address
JORDAN T DAVIS RBT
3004 ATLANTA AVE
LAKELAND, FL 33803-4304
Phone number: 863-944-0877
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Mailing Address
JORDAN T DAVIS RBT
5306 CREEKMUR DR
LAKELAND, FL 33812-4012
Phone number:
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