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1154665859
CARRIE HICINBOTHOM
SAN DIEGO, CA
NPI
1154665859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA BCBA 1-09-5050)
Enumeration Date
2012-11-19
Last Update Date
2012-11-21
Business Address
-- CARRIE HICINBOTHOM BCBA
3731 6TH AVE STE 100
SAN DIEGO, CA 92103-4383
Phone number: 619-278-0884
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Mailing Address
-- CARRIE HICINBOTHOM BCBA
3731 6TH AVE STE 100
SAN DIEGO, CA 92103-4383
Phone number:
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