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1447862115
ALEVTINA BASANTSOV
HOLLYWOOD, FL
NPI
1447862115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-23-64699)
Enumeration Date
2020-08-23
Last Update Date
2023-11-24
Business Address
ALEVTINA BASANTSOV
450 N PARK RD STE 400
HOLLYWOOD, FL 33021-6918
Phone number: 954-925-3191
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Mailing Address
ALEVTINA BASANTSOV
133 NE 2ND AVE APT 3106
MIAMI, FL 33132-2920
Phone number: 561-543-0441
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