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1689243719
BRYAN MATTHEW STARK
TAMPA, FL
NPI
1689243719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-171822)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
Mr. BRYAN MATTHEW STARK
10150 HIGHLAND MANOR DR STE 200
TAMPA, FL 33610-9712
Phone number: 863-602-0698
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Mailing Address
Mr. BRYAN MATTHEW STARK
PO BOX 6553
LAKELAND, FL 33807-6553
Phone number: 863-602-0698
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