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1053644013
CEDRIC CRISOLO
ENCINO, CA
NPI
1053644013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 11314656)
Enumeration Date
2009-09-09
Last Update Date
2013-11-22
Business Address
-- CEDRIC CRISOLO M.A., BCBA
17609 VENTURA BLVD ST. 215
ENCINO, CA 91316-3858
Phone number: 818-501-8352
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Mailing Address
-- CEDRIC CRISOLO M.A., BCBA
17609 VENTURA BLVD ST. 215
ENCINO, CA 91316
Phone number: 818-414-9211
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