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1174222681
MICAH STREET
ENCINO, CA
NPI
1174222681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
MICAH STREET
16500 VENTURA BLVD STE 360
ENCINO, CA 91436-2016
Phone number: 818-788-1003
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Mailing Address
MICAH STREET
16500 VENTURA BLVD STE 360
ENCINO, CA 91436-2016
Phone number:
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