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1780318865
LUCAS PATRICK CAPOBIANCO-HOGAN
ORANGE PARK, FL
NPI
1780318865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-07-13
Last Update Date
2024-11-06
Business Address
LUCAS PATRICK CAPOBIANCO-HOGAN
550 WELLS RD
ORANGE PARK, FL 32073-2969
Phone number: 877-823-4283
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Mailing Address
LUCAS PATRICK CAPOBIANCO-HOGAN
35 WINDSONG ACRES RD
ST AUGUSTINE, FL 32086-5788
Phone number: 631-905-5313
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