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1164003406
DAISY FAVA
CITY OF INDUSTRY, CA
NPI
1164003406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
DAISY FAVA
17595 ALMAHURST ST STE 100A
CITY OF INDUSTRY, CA 91748-1792
Phone number: 855-223-7123
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Mailing Address
DAISY FAVA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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