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1699226597
ELBERT Q BLAKELY
ORLANDO, FL
NPI
1699226597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-01-0541)
Enumeration Date
2016-10-17
Last Update Date
2020-10-13
Business Address
ELBERT Q BLAKELY BCBA-D
500 E COLONIAL DR
ORLANDO, FL 32803-4504
Phone number: 407-218-4340
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Mailing Address
ELBERT Q BLAKELY BCBA-D
1295 RICHMOND RD
WINTER PARK, FL 32789-5058
Phone number: 407-629-0165
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