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1730780925
DALTON JACOB JAMES
CASSELBERRY, FL
NPI
1730780925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-143270)
Enumeration Date
2020-11-04
Last Update Date
2022-11-02
Business Address
DALTON JACOB JAMES
148 WILSHIRE BLVD
CASSELBERRY, FL 32707-5372
Phone number: 321-972-4039
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Mailing Address
DALTON JACOB JAMES
2135 W STATE ROAD 434
LONGWOOD, FL 32779-4983
Phone number:
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