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1356160576
BENJAMIN HENRY
LAKELAND, FL
NPI
1356160576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-377064)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
BENJAMIN HENRY
454 W PIPKIN RD
LAKELAND, FL 33813-2545
Phone number: 863-619-2809
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Mailing Address
BENJAMIN HENRY
454 W PIPKIN RD
LAKELAND, FL 33813-2545
Phone number: 863-619-2809
Copy
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