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1861043911
GARY LONG
ROCKLEDGE, FL
NPI
1861043911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-21-49602)
Enumeration Date
2019-09-20
Last Update Date
2021-06-07
Business Address
GARY LONG BCBA
5830 US HIGHWAY 1
ROCKLEDGE, FL 32955-5704
Phone number: 321-372-6813
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Mailing Address
GARY LONG BCBA
150 W UNIVERSITY BLVD
MELBOURNE, FL 32901-6982
Phone number:
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