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1881444024
DESTINY FREDRICKS
KISSIMMEE, FL
NPI
1881444024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-335693)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
DESTINY FREDRICKS
102 PARK PLACE BLVD STE C1
KISSIMMEE, FL 34741-2358
Phone number: 407-385-0728
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Mailing Address
DESTINY FREDRICKS
3950 SHADOWIND WAY
GOTHA, FL 34734-5212
Phone number: 407-271-0794
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