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1174001200
MARVIN BONILLA
CERRITOS, CA
NPI
1174001200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-17-43330)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
MARVIN BONILLA
16410 BLOOMFIELD AVE
CERRITOS, CA 90703-2144
Phone number: 855-223-7123
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Mailing Address
MARVIN BONILLA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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