MICAH STREET

ENCINO, CA
NPI1174222681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
MICAH STREET
16500 VENTURA BLVD STE 360
ENCINO, CA 91436-2016
Phone number: 818-788-1003
Mailing Address
MICAH STREET
16500 VENTURA BLVD STE 360
ENCINO, CA 91436-2016
Phone number:
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