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1609315225
JOHN MORTENSEN
ORANGE PARK, FL
NPI
1609315225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 0-03-0899)
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- JOHN MORTENSEN BCaBA
175 INDUSTRIAL LOOP S
ORANGE PARK, FL 32073-6217
Phone number: 904-269-0773
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Mailing Address
-- JOHN MORTENSEN BCaBA
175 INDUSTRIAL LOOP S
ORANGE PARK, FL 32073-6217
Phone number: 904-269-0773
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