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1972004760
KENNAN JAY LISTON
GAINESVILLE, FL
NPI
1972004760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-02-27
Last Update Date
2022-05-20
Business Address
KENNAN JAY LISTON BCBA
2035 SW 75TH ST STE B
GAINESVILLE, FL 32607-3425
Phone number: 352-332-8588
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Mailing Address
KENNAN JAY LISTON BCBA
2035 SW 75TH ST STE B
GAINESVILLE, FL 32607-3425
Phone number: 352-332-8588
Copy
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