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1144040171
SUMMER MARIANA REYNOSO GONZALEZ
PORTLAND, OR
NPI
1144040171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10248344)
Enumeration Date
2024-10-15
Last Update Date
2024-10-16
Business Address
SUMMER MARIANA REYNOSO GONZALEZ
1827 NE 44TH AVE
PORTLAND, OR 97213-1443
Phone number: 503-963-6494
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Mailing Address
SUMMER MARIANA REYNOSO GONZALEZ
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number:
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