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1023740446
BENNETT KIENAST
SAN MARCOS, CA
NPI
1023740446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
BENNETT KIENAST
338 VIA VERA CRUZ STE 130
SAN MARCOS, CA 92078-2645
Phone number: 866-727-8274
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Mailing Address
BENNETT KIENAST
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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