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1962037648
SHANE M EDWARDS
TAMPA, FL
NPI
1962037648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: FL E363793931500)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
SHANE M EDWARDS
8875 HIDDEN RIVER PKWY STE 318
TAMPA, FL 33637-1035
Phone number: 813-367-2067
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Mailing Address
SHANE M EDWARDS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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