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1497364384
SAMANTHA KAVANAUGH
LAKELAND, FL
NPI
1497364384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-123621)
Enumeration Date
2020-07-27
Last Update Date
2022-03-23
Business Address
SAMANTHA KAVANAUGH
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 863-619-2809
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Mailing Address
SAMANTHA KAVANAUGH
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 863-619-2809
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