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1104214923
BRIAN WILK
FAIRFIELD, CA
NPI
1104214923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-14-10376)
Enumeration Date
2014-12-31
Last Update Date
2014-12-31
Business Address
-- BRIAN WILK
2500 N TEXAS ST UNIT A
FAIRFIELD, CA 94533-1639
Phone number: 707-422-2714
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Mailing Address
-- BRIAN WILK
62 DOLPHIN ISLE
NOVATO, CA 94949-5390
Phone number:
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