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1568968824
GABRIEL ALEXANDER FOUSEK
SUNRISE, FL
NPI
1568968824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-24-71563)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-04-04
Last Update Date
2024-03-11
Business Address
GABRIEL ALEXANDER FOUSEK
13650 NW 8TH ST STE 109
SUNRISE, FL 33325-6239
Phone number: 888-754-0398
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Mailing Address
GABRIEL ALEXANDER FOUSEK
10160 REFLECTIONS BLVD APT 202
SUNRISE, FL 33351-8223
Phone number: 954-638-5637
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