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1174031611
JOSIAH DOUGLAS
CHESAPEAKE, VA
NPI
1174031611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA 00003963)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
JOSIAH DOUGLAS
648 INDEPENDENCE PKWY
CHESAPEAKE, VA 23320-5206
Phone number: 757-776-0790
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Mailing Address
JOSIAH DOUGLAS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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