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1073071510
NATHAN BANAAG
IRVINE, CA
NPI
1073071510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-19-80164)
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
Mr. NATHAN BANAAG
18008 SKY PARK CIR STE 110
IRVINE, CA 92614-6434
Phone number: 949-474-1493
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Mailing Address
Mr. NATHAN BANAAG
3622 HAMILTON ST
IRVINE, CA 92614-6629
Phone number: 408-506-3736
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