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1356897300
PHOENIX HOUSE OF SUPPORT CORP
CUTLER BAY, FL
NPI
1356897300
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Entity Type
Organization
Authorized Contact
TAMARA VIQUILLON
Owner
786-301-1571
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 016029700)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
PHOENIX HOUSE OF SUPPORT CORP
8902 SW 208TH TER
CUTLER BAY, FL 33189-3884
Phone number: 786-301-1571
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Mailing Address
PHOENIX HOUSE OF SUPPORT CORP
8902 SW 208TH TER
CUTLER BAY, FL 33189-3884
Phone number: 786-301-1571
Copy
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