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1427614312
DERECK HOUSEHOLDER
MELBOURNE, FL
NPI
1427614312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-18-69317)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
DERECK HOUSEHOLDER RBT
2643 LOWELL CIR
MELBOURNE, FL 32935-2216
Phone number: 972-330-7126
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Mailing Address
DERECK HOUSEHOLDER RBT
2643 LOWELL CIR
MELBOURNE, FL 32935-2216
Phone number: 972-330-7126
Copy
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