SHAREIFF HASAN BERRY BLAKNEY

CERRITOS, CA
NPI1114755311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
SHAREIFF HASAN BERRY BLAKNEY
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703-2137
Phone number: 855-223-1723
Mailing Address
SHAREIFF HASAN BERRY BLAKNEY
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123