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1023573938
SHANNON NICOLE STANFORD
ENCINO, CA
NPI
1023573938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-18-34024)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
Dr. SHANNON NICOLE STANFORD BCBA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 818-987-8104
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Mailing Address
Dr. SHANNON NICOLE STANFORD BCBA
6601 LOUISE AVE
LAKE BALBOA, CA 91406-5435
Phone number: 818-795-5206
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