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1619509189
RICHARD LOGAN SHIRLEY
LAKELAND, FL
NPI
1619509189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL RBT-20-112091)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
RICHARD LOGAN SHIRLEY
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 863-619-2809
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Mailing Address
RICHARD LOGAN SHIRLEY
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 863-619-2809
Copy
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