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1043727381
OMAR MASSOUD
SAN LEANDRO, CA
NPI
1043727381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-17-28571)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
OMAR MASSOUD MA, BCBA
380 W JOAQUIN AVE APT 8
SAN LEANDRO, CA 94577-3637
Phone number: 510-541-8114
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Mailing Address
OMAR MASSOUD MA, BCBA
380 W JOAQUIN AVE APT 8
SAN LEANDRO, CA 94577-3637
Phone number:
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