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1417560855
BRIANNA DETAMORE
TAMPA, FL
NPI
1417560855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-113436)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
BRIANNA DETAMORE
10014 N DALE MABRY HWY STE C100
TAMPA, FL 33618-4426
Phone number: 800-356-4049
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Mailing Address
BRIANNA DETAMORE
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number: 847-807-6647
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