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1679293781
CHAVELY COSTALES
MIAMI, FL
NPI
1679293781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-216469)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
CHAVELY COSTALES
18315 SW 154TH AVE
MIAMI, FL 33187-7745
Phone number: 786-805-8819
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Mailing Address
CHAVELY COSTALES
18315 SW 154TH AVE
MIAMI, FL 33187-7745
Phone number: 786-805-8819
Copy
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