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1063050466
MARK SCOTT LONG
LAS VEGAS, NV
NPI
1063050466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
MARK SCOTT LONG
7351 W CHARLESTON BLVD STE 12O
LAS VEGAS, NV 89117-1502
Phone number: 702-470-0620
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Mailing Address
MARK SCOTT LONG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 949-331-6025
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