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1356602403
LINDA DIANE SOUTHARD
FARMINGDALE, NY
NPI
1356602403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2012-06-05
Last Update Date
2012-06-06
Business Address
Mrs. LINDA DIANE SOUTHARD MSED,BCaBA
81 SECATOGUE AVE UNIT 16
FARMINGDALE, NY 11735-1984
Phone number: 516-655-0686
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Mailing Address
Mrs. LINDA DIANE SOUTHARD MSED,BCaBA
81 SECATOGUE AVE UNIT 16
FARMINGDALE, NY 11735-1984
Phone number: 516-655-0686
Copy
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