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1063004364
ALICIA SELENA LY
FREMONT, CA
NPI
1063004364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
ALICIA SELENA LY
39210 STATE ST STE 204
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
ALICIA SELENA LY
5134 SHADOW EST
SAN JOSE, CA 95135-1229
Phone number: 408-614-5561
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