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1477177905
BRAYSEN SCOTT TANDY
FORT MYERS, FL
NPI
1477177905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-120074)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
BRAYSEN SCOTT TANDY RBT
3900 COLONIAL BLVD
FORT MYERS, FL 33966-1014
Phone number: 239-351-3715
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Mailing Address
BRAYSEN SCOTT TANDY RBT
619 SW 6TH ST
CAPE CORAL, FL 33991-2482
Phone number: 239-994-0029
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