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1437876463
GARRETT BRADFORD LUCAS
COCOA, FL
NPI
1437876463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-240229)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
GARRETT BRADFORD LUCAS RBT
453 KING ST
COCOA, FL 32922-7621
Phone number: 321-633-5511
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Mailing Address
GARRETT BRADFORD LUCAS RBT
453 KING ST
COCOA, FL 32922-7621
Phone number: 321-633-5511
Copy
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