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1699073353
ERICK MARK DUBUQUE
LOUISVILLE, KY
NPI
1699073353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: BCBA# 1-08-4322)
Enumeration Date
2011-03-04
Last Update Date
2018-01-13
Business Address
Dr. ERICK MARK DUBUQUE BCBA-D
1405 E BURNETT AVE
LOUISVILLE, KY 40217-1577
Phone number: 502-588-0724
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Mailing Address
Dr. ERICK MARK DUBUQUE BCBA-D
145 CORAL AVE
LOUISVILLE, KY 40206-2017
Phone number: 775-225-6980
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