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1649413766
JUDITH BRANTLEY INGHRAM
PALM HARBOR, FL
NPI
1649413766
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Former Name
JUDITH MARIE BRANTLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-03-1324)
Enumeration Date
2009-04-20
Last Update Date
2009-04-20
Business Address
Mrs. JUDITH BRANTLEY INGHRAM BCBA
1470 ROLLING RIDGE RD
PALM HARBOR, FL 34683-2825
Phone number: 727-460-4968
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Mailing Address
Mrs. JUDITH BRANTLEY INGHRAM BCBA
1470 ROLLING RIDGE RD
PALM HARBOR, FL 34683-2825
Phone number: 727-460-4968
Copy
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