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1770305120
FREDAIZHA ALEXIS RIVERS
DEERFIELD BEACH, FL
NPI
1770305120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 104403768)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
FREDAIZHA ALEXIS RIVERS
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 754-336-3892
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Mailing Address
FREDAIZHA ALEXIS RIVERS
1315 ASHLEY AVE APT A
CHARLESTON, SC 29403-3081
Phone number: 346-652-4712
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