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1801502646
IDALBERTO LEIVA
HIALEAH, FL
NPI
1801502646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 20-120890)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
IDALBERTO LEIVA
840 SE 10TH PL
HIALEAH, FL 33010-5828
Phone number: 786-355-6054
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Mailing Address
IDALBERTO LEIVA
840 SE 10TH PL
HIALEAH, FL 33010-5828
Phone number: 786-355-6054
Copy
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