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1043970114
LONELL WOODHOUSE
POCATELLO, ID
NPI
1043970114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
LONELL WOODHOUSE IS
106 MOUNTAIN DR
POCATELLO, ID 83204-4723
Phone number: 562-731-9705
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Mailing Address
LONELL WOODHOUSE IS
16732 CEDARWOOD CIR
CERRITOS, CA 90703-2845
Phone number: 562-802-3558
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