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1134861321
MYA BLACKWELL
LOS ANGELES, CA
NPI
1134861321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
MYA BLACKWELL
1200 S FIGUEROA ST
LOS ANGELES, CA 90015-1392
Phone number: 424-272-5238
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Mailing Address
MYA BLACKWELL
13428 MAXELLA AVE STE 913
MARINA DEL REY, CA 90292-5620
Phone number: 424-272-5238
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