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1184181455
DEREK TING-SHI SHEN
SAN BRUNO, CA
NPI
1184181455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-19-77341)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
DEREK TING-SHI SHEN
901 SNEATH LN STE 105
SAN BRUNO, CA 94066-2415
Phone number: 855-223-7123
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Mailing Address
DEREK TING-SHI SHEN
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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