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1194204909
MYIA FAITH BENJAMIN
BATON ROUGE, LA
NPI
1194204909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA 011088724)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
MYIA FAITH BENJAMIN
758 ROYAL ST
BATON ROUGE, LA 70802-6433
Phone number: 000-000-0000
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Mailing Address
MYIA FAITH BENJAMIN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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