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1013307016
KISA KORELLO
SAN BRUNO, CA
NPI
1013307016
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Other Name
KIRSTIN KORELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2015-01-28
Last Update Date
2015-01-28
Business Address
KISA KORELLO M.ED., BCBA
2770 PLYMOUTH WAY
SAN BRUNO, CA 94066-2731
Phone number: 650-515-4726
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Mailing Address
KISA KORELLO M.ED., BCBA
2770 PLYMOUTH WAY
SAN BRUNO, CA 94066-2731
Phone number: 408-910-4929
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