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1770173478
JACOB MATHEW ALLEN
ST PETERSBURG, FL
NPI
1770173478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-19-95600)
Enumeration Date
2021-01-26
Last Update Date
2023-04-17
Business Address
JACOB MATHEW ALLEN
2501 48TH AVE N
ST PETERSBURG, FL 33714-3135
Phone number: 727-641-2020
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Mailing Address
JACOB MATHEW ALLEN
2501 48TH AVE N
ST PETERSBURG, FL 33714-3135
Phone number: 727-641-2020
Copy
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