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1679164628
ALEX EWALD
PORT ST LUCIE, FL
NPI
1679164628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KS 20-142854)
Enumeration Date
2021-02-02
Last Update Date
2024-01-18
Business Address
ALEX EWALD RBT
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5530
Phone number: 772-463-0444
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Mailing Address
ALEX EWALD RBT
2014 PORT MALABAR BLVD NE
PALM BAY, FL 32905-5432
Phone number: 660-973-4374
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