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1366808677
MARK ELLIS
COCOA, FL
NPI
1366808677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: BACB 327581)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
-- MARK ELLIS RBT
453 KING ST
COCOA, FL 32922-7621
Phone number: 321-633-5511
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Mailing Address
-- MARK ELLIS RBT
3275 TEAL ST
TITUSVILLE, FL 32796-1238
Phone number: 321-507-8631
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