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1093268039
BRIAN LONG
SAN BRUNO, CA
NPI
1093268039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA 1-15-17942)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- BRIAN LONG BCBA
751A CAMINO PLZ
SAN BRUNO, CA 94066-3401
Phone number: 650-627-8045
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Mailing Address
-- BRIAN LONG BCBA
2 KINGSTON ST
SAN FRANCISCO, CA 94110-5414
Phone number: 484-888-3677
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