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1558019752
GEORGIA THEODORA MANTIS
TAMPA, FL
NPI
1558019752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 12258182)
Enumeration Date
2022-03-16
Last Update Date
2022-03-17
Business Address
Mrs. GEORGIA THEODORA MANTIS BCBA
1413 TECH BLVD STE 122
TAMPA, FL 33619-7822
Phone number: 630-965-3857
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Mailing Address
Mrs. GEORGIA THEODORA MANTIS BCBA
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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