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1164153417
LARRY SHAWN BASSHAM
HUNTINGTON BEACH, CA
NPI
1164153417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
Dr. LARRY SHAWN BASSHAM EdD
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA 92647-5998
Phone number: 562-248-6377
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Mailing Address
Dr. LARRY SHAWN BASSHAM EdD
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA 92647-5998
Phone number: 562-248-6377
Copy
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