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1124742200
FAITH ETHERIDGE
LONG BEACH, CA
NPI
1124742200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-03
Last Update Date
2024-03-27
Business Address
FAITH ETHERIDGE
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807-2008
Phone number: 855-223-7123
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Mailing Address
FAITH ETHERIDGE
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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