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1063054617
ALICE STACO
BAYSIDE, NY
NPI
1063054617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
Mrs. ALICE STACO
21410 24TH AVE STE 2
BAYSIDE, NY 11360-2219
Phone number: 347-321-4094
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Mailing Address
Mrs. ALICE STACO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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