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1023585197
CHYENNE MARIE LONG
CHULA VISTA, CA
NPI
1023585197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-18-68913)
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
CHYENNE MARIE LONG
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910-2651
Phone number: 855-223-7123
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Mailing Address
CHYENNE MARIE LONG
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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