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1679033948
STEPHEN FORSYTH
LAYTON, UT
NPI
1679033948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-19-81845)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
STEPHEN FORSYTH
365 W 1550 N STE F
LAYTON, UT 84041-2279
Phone number: 801-876-5809
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Mailing Address
STEPHEN FORSYTH
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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