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1356615694
ANIKA COSTA
PORT SAINT LUCIE, FL
NPI
1356615694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-10-7378)
Enumeration Date
2012-03-05
Last Update Date
2013-04-30
Business Address
ANIKA COSTA BCBA
8809 BALLY BUNION RD
PORT SAINT LUCIE, FL 34986-3085
Phone number: 855-832-6727
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Mailing Address
ANIKA COSTA BCBA
8809 BALLY BUNION RD
PORT SAINT LUCIE, FL 34986-3085
Phone number: 855-832-6727
Copy
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