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1770304404
BRYAN VILLALTA
MIAMI, FL
NPI
1770304404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106E00000X Assistant Behavior Analyst
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
BRYAN VILLALTA
2520 CORAL WAY STE 2-19
MIAMI, FL 33145-3438
Phone number: 786-298-4397
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Mailing Address
BRYAN VILLALTA
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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