KEANNA G THEOBALT

TEMECULA, CA
NPI1124684451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MO  RBT-18-70458)
Enumeration Date2019-05-13
Last Update Date2019-06-11
Business Address
KEANNA G THEOBALT
43537 RIDGE PARK DR
TEMECULA, CA 92590-3615
Phone number: 858-689-2027
Mailing Address
KEANNA G THEOBALT
9466 BLACK MOUNTAIN RD STE 100
SAN DIEGO, CA 92126-4550
Phone number: 858-689-2027
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