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1629794789
BENJAMIN PRIDEMORE
LARGO, FL
NPI
1629794789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-240174)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
BENJAMIN PRIDEMORE
12505 STARKEY RD STE K
LARGO, FL 33773-2617
Phone number: 727-280-6643
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Mailing Address
BENJAMIN PRIDEMORE
12505 STARKEY RD STE K
LARGO, FL 33773-2617
Phone number:
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