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1063095495
ALYSSA BLACK
PORTLAND, OR
NPI
1063095495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
ALYSSA BLACK
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 818-241-6780
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Mailing Address
ALYSSA BLACK
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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