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1053841858
ANGELA MARIE RUSSO
POMONA, CA
NPI
1053841858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-16-24693)
Enumeration Date
2017-06-14
Last Update Date
2017-06-20
Business Address
ANGELA MARIE RUSSO BCBA
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768-2627
Phone number: 909-618-0974
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Mailing Address
ANGELA MARIE RUSSO BCBA
10442 YOLANDA AVE
PORTER RANCH, CA 91326-3440
Phone number: 818-606-3754
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